Enrolment Form

Course Enrolment Form : Program 3.

Re-Qualification : Revolver, Pistol and Security Shotgun

COURSE TYPE : Program 1. Revolver or Pistol Only ($350)
Program 2. Revolver and Pistol Combined ($400)
Program 3. Revolver, Pistol and Shotgun ($450)

COURSE DATES YOU WOULD LIKE TO ATTEND : eg. June 17-24

HOW DID YOU HERE ABOUT US ?

FULL NAME :

DATE OF BIRTH :

MOBILE PHONE NUMBER :

EMAIL ADDRESS :

SECURITY LICENCE NUMBER :

HANDGUN LICENCE NUMBER :

LONGARMS LICENCE NUMBER :

TRUE AND CORRECT :

RE-QUALIFICATION COURSE : PROGRAM 1. - Revolver / Pistol Only ($350.00)

EQUIPMENT REQUIREMENTS : I require the use of a firearm and holster.
I will supply my own firearm and holster.

PAYMENT OPTIONS : Cash (In person)
Eftpos (in person)
Credit Card (go to bottom of page)
Other