FIREARMS TRAINING ASSOCIATES, INC.
Class Registration Form

Name:_____________________________________________________________

Address:___________________________________________________________

__________________________________________________________________

Home Telephone Number:______________________________________________

Occupation:_________________________________________________________

Work Telephone Number:______________________________________________

Driver's License Number and State:_______________________________________

Terms and Conditions

The cost of this course is $125.00. Please send $50.00 with this application to ensure seat reservation. Payment may be made by either check, money order, or Visa/Mastercard.

Make check or money order payable and send to:

FTA, Inc.

P.O. Box 1904

Garner, NC 27529

Fax. 919-834-7418

Visa or Mastercard Number

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Expiration Date_______/______Amount $________.______

FIREARMS TRAINING ASSOCIATES, INC. Class Registration Form

Please download this form, mail or fax it to the above address. DO NOT send this information electronically as it is not encrypted.

FIREARMS TRAINING ASSOCIATES, INC.
Class Registration Form