BACK    The Bridge at Remagen Scenario Game  Field Paint Only  June 28th, 2009

Questions Call 641.330.5305  Walk-ons Welcome Day of Event  Pre Register Deadline is June 14th, 2008   

Mail or phone in registration: Sure Shooting Paintball, 12078 Kipling Avenue, Greene, IA. 50636-9112   Registrations that are not completed or not filled out correctly will not be processed. You will receive a receipt for your order. Use receipt reference number, when contacting SSPP concerning questions. Paint will be available on event day at Sure Shooting Paintball Park. It will be tagged with your Name\ Number of Cases ordered as per registration form. Waiver of Liability required at event.     Food Concessions at Event

Entry Fee Per Player (registration Includes Air for event)  Pre Register  $25.00        Day of Event    $35.00

Field Paint (Premium PMI)          Pre Register $50.00 case         Day of Event  $65.00 case 

Team Preferred (Circle One)       Allied      German

Name        ____________________________________________  Print Clearly

Address     ______________________________________________________________

City           _________________________    Zip    ____________

Registration Fee_______  X $25.00 =____________       Pay Credit Card (Circle one)

Cases of Paint    ______  X $50.00 =_____________       MasterCard         Visa

                                         Total = _______________      Discover    American Express            

Card Number    ____________________________________________________

3 Digit ID # (on back of card, last 3 numbers)  _______ Expiration Date mm/yy   _________

Name on Card    ___________________________________________________

Zip Code (Card is billed to)    _________________________________________

Contact Phone Number    (___________) _______________________________

Email    __________________________________________________________