Utah Concealed Firearm Permit class – Ashland, Virginia

Student Registration

1. First & Last Name(required)
2. Street Address(required)
3. City(required)
4. State(required)
5. Zip Code(required)
6. Primary Phone(required)
7. Secondary Phone
8. Email(valid email required)
9. How did you hear about Proactive Shooters?(required)

Class Date Selection for Ashland, Virginia classes

1. Course Date Choose Class Date Saturday, April 28, 2012 11am - 5pm Saturday, May 12, 2012 11am - 5pm Saturday, June 23, 2012 11am - 5pm Saturday, July 21, 2012 11am - 5pm Sunday, August 5, 2012 11am - 5pm (required)

Person to Notify in Case of Emergency

1. Name(required)
2. Primary Phone(required)
3. Secondary Phone

Utah Concealed Firearm Permit class - Certificate

1. Please indicate how you would like your name to appear on your certificate. Example - John Smith, John J. Smith, John J. Smith Jr.
2. Name(required)
3. IMPORTANT - You must click "SUBMIT" to send your registration. You will then be redirected to the "Pay Now" button to make your payment with your Visa, Mastercard, Discover, American Express, electronic check or Paypal account. If you wish to pay in another manner, you may do so by contacting our offices to make arrangements.

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