Double Bar A Oakfield, WI March 10, 2012

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------------------------Choose Event----------------------- Double Bar A March 10

Rider

• CMSA Number

• CMSA Class --------------------------------- M1 M2 M3 M4 M5 M6 L1 L2 L3 L4 L5 L6 J S1 S2 S3 S4 S5 S6 SL1 SL2 SL3 SL4 SL5 SL6 Wrangler Open (WRO) Wrangler Limited (WRL)

• Rider

• Address

• City

• State     Zip

• Telephone

• E-mail

• Alias

Horse

• Horse's Name

Entry

• Main Match - 4 Stages N/A Adult Day 1 $60 Wrangler Day 1 $10

• Rifle - RWPQ N/A Rifle $30

• Shotgun N/A Shotgun $30

• 3D Jackpot N/A 3D $10

• Division Jackpot N/A Divisional Jackpot $20

• Stalls N/A $10 a day with Shavings

Total Entry Fees

Liability Release By checking the box you agree to and have read the liability release

To prepay your entry, mail your fees to the address listed below.