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ENROLMENT FORM : RE-QUALIFICATION COURSE
PROGRAM OPTIONS & FEES :
Option #1. $350 - Revolver Only.
Option #2. $350 - Semi-Auto Pistol Only.
Option #3. $400 - Revolver & Semi-Auto Pistol Combined.
COURSE DATES YOU WOULD LIKE TO ATTEND :
#1 - September 2014 > Thursday 18th & Friday 19th
#2 - October 2014 > Monday 27th & Tuesday 28th (Temp Booking)
#3 - November 2014 > Monday 24th & Tuesday 25th (Temp Booking)
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 (go to "make a payment" page)
#2 - Credit Card (go to "make a payment" page)
#3 - I'll pay full course fees upon enrolment.
BALANCE OF COURSE FEES :
#1 - PAID IN FULL
#2 - Pay on Day 1 of the course via Cash, Eftpos or Credit Card.
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.
Home Page
Trainer's Profile
Firearm ReQualifications
Enrolment - ReQualification
Make a Payment
Contact Us
