|
Registration
Form
( Print & Complete )
| Name: |
____________________________________________________________________________________________________ |
| |
Last |
First |
Middle |
Street
Address: |
__________________________________________________________________________________________________ |
| |
City |
State |
Zip |
|
___________________________________________________________________________________________________________
|
Home
Phone # |
Business
Phone # |
Cell
Phone # |
Fax
# |
| ___________________________________________________________________________________________________________ |
Age |
Email
Address
|
| _______ |
AZ
CCW PERMIT CLASS |
$099
|
| _______ |
UTAH
CCW PERMIT CLASS |
$099 |
| _______ |
MULTI-STATE
CCW PERMIT PACKAGE |
$149 |
| _______ |
BASIC
DEFENSIVE PISTOL |
$150 |
| _______ |
ADVANCED
COMBATIVE PISTOL |
$295 |
Date of Class you wish to attend: |
___________________________________ |
(See Schedules) |
| |
Available
on 1st come 1st serve basis |
|
| Method
of Payment: |
| _______ |
Personal
Check |
_______ |
Money Order |
_______ |
Cashiers
Check (Mail Check with form) |
I understand
that the cost of the course checked above is non-refundable and
that any change in schedule
must be made at least 72 hours prior to date of course and approved
by Arizona Defensive Firearms Training,
a division of RB Investigations, LLC. There will be a $25 Charge
for returned checks.
Signature _________________________________________________
Date _____________________________
Mail this form
along with Check Cashier's Check or Money order.
Mail to: RB Investigations, LLC • PO Box 44302 • Phoenix,
AZ 85064
Note: You will receive a CONFIRMATION by e-mail or by letter, along
with a map to range 3-5 days prior to class.
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