To:  COCA, Inc. • PO Box 596 • Maryville, IL  62062-0596  Phone: 618/288-9434 Fax: 618/288-9546

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Fill out information below and press "Submit Registration"
E-mail address of person submitting registration:

Registration Form

TRAP SHOOT

Includes:  Lunch, use of gun, ammunition, and targets for unlimited trap & skeet shooting.

You do not need to be an experienced shooter!  Instructional help will be available for you!

(Please feel free to bring your own personal shotgun, if you desire.)

 

View pdf file of Trap & Skeet Registration Form

LIST SHOOTER'S NAME(s), TITLE(s), & COMPANY NAME(s):

PROGRAM FORMAT

Olin Westerner Club & Gun Club located at Rte. 140 & Powder Mill Road, Alton, IL

                     10:15 a.m.- 1:00 pm          Registration-Olin Westerner Club

*Note: ALL shooters MUST check-in first!

                     11:00 a.m. - 12:30 p.m.    Lunch at Olin Westerner Club

                     10:30 a.m. - 4:30 p.m.     Trap & Skeet Shooting at Olin's Gun Club

                     Immediately following Trap & Skeet Shoot:

      Complimentary Barbecue & Beer Social at Spencer T. Olin Golf Course under the pavilion! 

Follow this link for Directions to the Olin Westerner Club.

-OR-

Please commit my firm to the following number of shooters: I will advise the names as soon as possible.

Bill to:

(if different from person registering)

Company:
Address:
Telephone:

PAYMENT INFORMATION

Total Shooters:      x $110.00 =  

      

  Card Number:    Expiration Date:

Credit Card Users include last 3 digits displayed on back of card near signature line:

NEW! Need Zip Code of where STATEMENT is mailed:

MAKE CHECKS PAYABLE TO: 

COCA, Inc., 2812 North Center Street, PO Box 596, Maryville, IL  62062-0596

This is a firm commitment for the number of shooters registered.  Cancellations and refunds are determined by COCA's ability to fill the vacated spots; however, substitutions are welcomed at any time.