Register – Utah Concealed Firearm Permit Class – Greenville, Pa. – August 20, 2011

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)

Class Date Selection

1. Course Date Choose class date Saturday, August 20, 2011 10am - 4pm (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
2. Name(required)
3. IMPORTANT You must click "SUBMIT" to send your registration.

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