This form may be printed and mailed with payment included or submitted
online with payment through PayPal.
If mailed, please make checks payable to : CSRA Shag Club, Inc. and mail
Tom Cullum, 102 Oakleaf Drive, North Augusta, SC 29860 (Phone: 803-278-2249)
----NO TICKETS WILL BE MAILED---
Include an Email Address OR Stamped Self-Addressed Envelope for ticket