September 15th, 2022

Warrington Sporting Clays
500 Yeager Road
Wellsville, PA  17365

Registration & Lunch - 12:30 pm
Shotgun Start 1:45 pm

PSHFE Reception at the Red Lion Harrisburg/Hershey
Cocktails and appetizers 6 pm - 8 pm

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* 1. First Name

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* 2. Last Name

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* 3. Registration options

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* 4. If sponsoring at the Gold, Silver, or Bronze level, please list your squad member names in the boxes below.  If you are registering as a shooting attendee only, skip to question #6.

Note - we hope you can help bring in some healthcare members you already know, but if you have open spots left with your sponsorship level you can't fill, let us know and we'll try to help fill them for you.

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* 5. If sponsoring at the Gold, Silver, Bronze level, please upload a copy of your company's logo.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 6. If interested in participating in the 5 stand additional targets option, please indicate how many you will have participating.  Note there is an additional charge of $15 per person for this option.

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* 7. Organization/Business Name

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* 8. Street Address

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* 9. City

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* 10. State

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* 11. Zip Code

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* 12. Email Address

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* 13. Phone Number

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* 14. Payment will be submitted via:

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