Course Registration

Course Name:

Course Date: 

First Name:         Last Name:     (First Student)

First Name:         Last Name:     (Second Student)

Address:        

City/State/Zip

Phone:               E-mail: 

Date of Birth:     NRA Member      

Member:  DePere Sportsmens Club     Luxemburg Sportsmens Club

For First Steps or Personal Protection inside/outside the Home:

Make/Model of Handgun:     Ammunition: 

 

      Registration and Payment:

Print this page and send page and check to:                     OR   

 

 

Pay with GUNPAL

Pay using GUNPAL

Then submit your registration:  

 

    

 

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