IDPA Clinic: April 24, 2004 Deadline: April 15, 2004
Cost: $15.00 (payable to ALGC) Late fee after April 15, 2004 Add $5.00

NAME:____________________________ PHONE:_____________

E-MAIL _______________________________
Make checks payable to ALGC and mail with registration coupon to:

John Moson
P.O. Box 1174
Brunswick, OH 44212