Register – Utah Concealed Firearm Permit Class – East Providence, Rhode Island

Student Registration

1. 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)

Course Selection

1. Course Date Choose Class Date: Sunday, March 21, 2010 11am-4pm Saturday, June 5, 2010 11am-4pm Sunday, September 26, 2010 11am-4pm Sunday, December 5, 2010 11am-4pm (required)

Person to Notify in Case of Emergency

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

Refuse To Be A Victim - Certificate of Completion

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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