Utah Concealed Firearm Permit class – Ashland, Virginia
Student Registration
Name
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Street Address
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City
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State
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Zip Code
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Primary Phone
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Secondary Phone
Email
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How did you hear about Proactive Shooters?
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Class Date Selection for Ashland, Virginia classes
Course Date
Choose Class Date
Sunday, September 12, 2010 11am-5pm
Saturday, October 16, 2010 11am-5pm
Saturday, November 6, 2010 11am-5pm
Saturday, December 18, 2010 11am-5pm
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Person to Notify in Case of Emergency
Name
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Primary Phone
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Secondary Phone
Utah Concealed Firearm Permit class - Certificate
Please indicate how you would like your name to appear on your certificate. Example - John Smith, John J. Smith, John J. Smith Jr.
Name
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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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