Simple Event Registration Form

Event Registration

Fill out the form to register to our event
Name*

First NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant must be 21 years old to register.
Birth Date*

MonthDayYear
Age*
Driver's License #
Driver's License State
E-mail*
Phone Number*

Area CodePhone Number
Please choose your preferred method of communication
Please provide up to three dates that you are available to schedule your class. Instructor will contact you to finalize appointment.
1st Choice*

MonthDayYearHourMinutesAM/PM Option
2nd Choice*

MonthDayYearHourMinutesAM/PM Option
3rd Choice*

MonthDayYearHourMinutesAM/PM Option
Please choose*
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NRA Basic Pistol with Enhancement$165.00

Private Course (per person)$165.00

Registration Deposit Only (Nonrefundable)$50.00

Subtotal $0.00Tax $0.00Total $0.00
***All prices are per person and are subject to change***

***All pricing includes Nonrefundable Registration Deposit***
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