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ENROLMENT FORM
PROGRAM OPTIONS & FEES :
Option #1. $400 - Revolver Only.
Option #2. $400 - Semi-Auto Pistol Only.
Option #3. $450 - Revolver & Semi-Auto Pistol Combined.
Option #4. $475 - Revolver, Semi-Auto & Shotgun
Option #5. $85 - Practice (Per 100 rounds)
PERSONAL INFORMATION :
FULL NAME :
DATE OF BIRTH :
MOBILE PHONE NUMBER :
EMAIL ADDRESS :
CONTACTABLE VIA FACEBOOK :
Yes, I have a Facebook account.
No, I don't have a Facebook account.
LICENCE DETAILS :
SECURITY LICENCE NUMBER :
HANDGUN LICENCE NUMBER :
LICENCE STATUS :
I hold both a Security & Firearms (Handgun) Licence.
I hold a Security Licence and have completed the Armed Guard Program.
EQUIPMENT REQUIREMENTS :
TRAINING EQUIPMENT :
I require the use of a firearm and holster
I will supply my own firearm and holster
I will supply my own holster only
PAYMENT OPTIONS :
COURSE DEPOSITS : ($100 Deposit Required with Enrolment)
#1 - Direct Debit Bank Transfer
#2 - Credit Card / EFTPOS
#3 - PayPal
ENROLMENT CONFIRMATION :
PLEASE CONFIRM MY ENROLMENT VIA :
Text Message
Facebook
Confirmation Not Required
ACKNOWLEDGEMENT :
TRUE AND CORRECT :
I (named above) confirm all information is true and correct.
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