Enrolment Form - Program 1.

COURSE ENROLMENT FORM : Program 1.

Revolver or Pistol Only

Simply complete the enrolment for below and hit the submit button at the bottom of the page.

CODE ONE will then confirm your enrolment via return email shortly.

TOTAL COURSE FEES :

COURSE FEES PAID BY :

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 :

I CONFIRM ALL INFORMATION IS TRUE AND CORRECT :

1. Re-Qualification Course - Revolver / Pistol Only ($350.00)

2. Re-Qualification Course - Combined Revolver & Pistol ($400.00)

3. Re-Qualification Course - Revolver, Pistol & Shotgun ($450.00)