United States BenchRest

Name of Your Club: _______________________________________________
Match Director (Club contact person): _____________________________,(title) ______________________
Contact Person's Phone: (____) ____ - _______; E-mail: __________@___________________________
Club's USPS Address: __________________________________________ , ______________________
Range Address (if different from Mail Address):____________________________________________________
Range Description:
        _______ number of positions (_____ indoor & _____ outdoor)
        yardage ___ 25 - ___ 50 - ___ 100 - ___ ( ___________________________________)
        ___ night lights
        ___ other info. (____________________________________________________________)
Scheduled Match Dates [Please include Starting Times, & Match Types: (Rimfire, Air, Centerfire)
& any special rules]:
Any other club info you would like to see on the web site (directions to Club, etc.):

Send this form with your $10 check, payable to USBR, to: