Global Shot Doctor
PACKAGE ORDER FORM
Please
review
this page
to see your (or your program's) potential profits as a
Fund Raiser
!
Please
complete all fields for the best results.
Choose your Session:
Short Term Shooting Session
1 hour $150 + Expenses
1½ hour $225 + Expenses
2 hours $300 + Expenses
3 hours $400 + Expenses
1 Day Shooting Session (
$800
)
$800 + Expenses
2 Day Shooting Sessions (
$1400
)
$1400 + Expenses
Other type of Camp you may be interested in?
Please request a start date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
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30
31
Please request an altenate date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
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5
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20
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22
23
24
25
26
27
28
29
30
31
Anticipated Number of Campers?
NOTE:
61 or more players for the day (total players both sessions) - GSD will receive $5 extra per player and the Camp Director will get the rest (ex. 90 total for day at $40 each = 30 extra X $5 = $150 for GSD & $1,050 for school!).
Contact Information
Your Name
Address
City
State/Province
<Select>
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
Armed Forces Americas (AA)
Armed Forces Outside Americas (AE)
Armed Forces Pacific (AP)
New Brunswick
Newfoundland
Alberta
Northwest Territories
Nova Scotia
Prince Edward Island
Quebec
Saskatchewan
Ontario
Yukon Territory
Manitoba
British Columbia
None
Zip/Postal Code
Home Phone
Work Phone
Email Address
Coach's Name -
If different from above...
Coach's Address
City
State/Province
<Select>
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
Armed Forces Americas (AA)
Armed Forces Outside Americas (AE)
Armed Forces Pacific (AP)
New Brunswick
Newfoundland
Alberta
Northwest Territories
Nova Scotia
Prince Edward Island
Quebec
Saskatchewan
Ontario
Yukon Territory
Manitoba
British Columbia
None
Zip/Postal Code
Home Phone
Work Phone
Email Address
Will a "
Camp Parent
" be available?
Yes
No
Proposed Session Location
Where will the Shooting Session be located?
Prior Global Shot Doctor Event Hosted
When and Where did you host a previous Global Shot Doctor Event?
Where did you get your
information about us?
Website
Nike Clinic's
Korney Board
Winning Hoops
Postcard/Mailer
Called by Leslie Davis
Other
Payment Information*
Check Sent to Address Below
(
Deposit of $200
)**
**
Date will be confirmed when check clears.
Check Sent to Address Below
(
Full Amount
)**
**
Date will be confirmed when check clears.
School P.O.
* ($200 on confirmation [$300 for 2-Day Camp] - Balance at the beginning of the Camp + Expenses)
Mail Checks to:
Global Shot Doctor
2318 South Hoyt Street
Lakewood, Colorado 80227-2234
U.S.A.
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