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NRA COURSE REGISTRATION FORM
TRAINING
COURSE: Pistol
_____ Rifle _____ Shotgun _____ Home Firearm Safety _____
Pers Prot IN Home _____ Pers Prot OUTSIDE Home _____ Range Safety Officer _____
Metallic Cartridge Reload
_____ Shot Shell Reload
_____ Muzzle Load (specify) _____
………………………………………………………………………………………………………………………………
SKILL
LEVEL: NRA Basic Course ______ or NRA Instructor Certification _____
………………………………………………………………………………………………………………………………
Name
DOB
Street
Address
City
State
Zip
Home Phone: Work:
Cell:
Email:
..........................................................................................................................................................................
I am a CURRENT MEMBER of the National Rifle
Association (NRA): YES NO
(if YES, pls enter the following information from your member card)
NRA #: ____________________________ exp date _____________
(if NO but desire to join
/ renew? - pls wait for the class to start to join/renew for only $25 !
............................................................................................................................................................................
Describe
your prior shooting experience:
………………………………………………………………………………………………………………………………
Please mail (1) this completed form and (2) registration fee of $ ________ made out to:
William Rees, 630 Sausalito Blvd, Casselberry,
FL 32707
Questions? Pls direct them to guntrain@GunTrainingFlorida.com
or call 407.808.8859
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