Chimney Rocks Regulators

We are now using a computer database program for our monthly shoots and would like to update out records.

Your information will not be given out. It will just be for our records and will give us the information if we do mailings and such. Even if you don't shoot with us and would like to enter your info to keep you informed when we do mailings.

 

  1. Please provide the following contact information:

    Name
    Title
    Your Club
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Phone
    E-mail
    Your club website

  2. What is you SASS number if you are a member?

  3. What is your Alias?

  4. Would you like to receive emails and mailing?

    Yes No


Copyright © 2008 [Chimney Rocks Regulators]. All rights reserved.
Revised: October 07, 2008