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 $160.00 =
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.