April 22, 2017

Registration starts at 7:00 a.m. Shoot begins at 8:30 a.m.

(one rotation only)

Company: ______

Contact Name &Email: ______

Company Address: ______

Phone: ______Fax: ______

Shooter Name: ______

Shooter Name: ______

Shooter Name: ______

Shooter Name: ______

Shooter Name: ______

Shooters receive meals, refreshments, bucket tickets and grand prize drawing ticket.

○ Platinum Sponsor $5,000: Includes 5 shooters, special recognition, use of golf cart

○ Diamond Sponsor $2,500: Includes 5 shooters and sponsored stand

○ Gold Sponsor $1,500: Includes 5 shooters

○ Individual entry $350: Includes 1 shooter

○ Extra bucket tickets: Sold in strips of five tickets. One strip of tickets for $20,

six strips of tickets for $100, 35 strips for $500

Ticket Quantity: ______Amount: $______

Sponsorship opportunities (deadline: April 7, 2017):

o  Board Auction Items - $300

o  Meal Sponsor - $500

o  Live Auction Items - $1,000

Enclosed is my total payment (registration, extra bucket tickets, and/or sponsorship)

$ ______

Please make check payable to CTRC at UTHSCSA. Check #______

(Reference: 2017 Vulcan Funshoot Registration)

Pay online by Credit card at: http://makelivesbetter.uthscsa.edu/VulcanFunshoot or

Credit Card #: ______Exp: ______

Cardholder’s Name: ______Security Code: ______

Billing Address/City/State/Zip: ______

Return registration form and check to:

CTRC Registration c/o Vulcan Materials Company

P.O. Box 791550

San Antonio, TX 78279-1550

Attn: Valerie Garza

or email to

or fax to (210) 524-3553

For additional information, please call (210) 524-3515. If you are interested in renting a

golf cart for the event, please call the National Shooting Complex: (210) 688-3371, ext. 102.