Broadband Cable Association of Pennsylvania

2019 Fall Event Registration Form

Name
Address
City, State, Zip
Phone
Email

		I will attend the reception at the Gans' home - October 16 at 7 PM (Contribution $100 - personal check only)
		I will attend the PAC Breakfast - October 17 at 7:30 AM ($500 - personal check only - contribution includes the dinner at the Gans' home, skeet, trap, and pheasant shoot)
		I want to be paired with an experienced shooter
		I will need a shotgun

I will bring my own shotgun

(specify gauge)

Please send your personal check made payable to PA CABLE PAC to:

BCAP
127 State Street
Harrisburg, PA 17101