PRINT, FILL OUT AND MAIL TO THE BELOW ADDRESS.

Member ___________________________________ #____ @ $60

Guest #____ @ $30

Youth (15 or younger) #____ @ $15


I cannot attend, however, enclosed is my tax deductible donation to NOCOPF: $________

___ Yes, contact me about helping on a committee:

         Name: _________________________ Phone: _________________

Email address: ____________________________________________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Raffle Tickets: Browning Citori PF 25th Anniversary Edition #____ $10 each/ 3 for $25

Total purchase: $ __________ 

Payment Method
 
___ Check enclosed (make payable to NOCOPF)
 
Credit Card:     _____ MasterCard          _____ VISA
 
Name on card (print, please): ____________________________________

Card #: ______________________________________________                                         

Expiration: ___________________________________________

CVV Code: ________
The CVV is the 3-digit code after the credit card #,
in the signature area on back of the card

 
Signature: ____________________________________________
         	(your signature is required)

Your PF membership #: ________________________

Please pick up your tickets at the banquet check-in table

Mail to: NOCOPF (JB Barthlama)
		 1619 Waterford Lane
		 Fort Collins, CO 80525