NAME:___________________________________________

ADDRESS:________________________________________

CITY:_____________________  STATE:________________

ZIP:______________   PHONE:_______________________

EMAIL:________________________  CELL:_____________

CHOICE:   RIFLE ___   PISTOL ___

ALL CLASSES WILL BE TAUGHT BY NRA CERTIFIED INSTRUCTORS
Time and Date will be on a first come first served basis as the class fills.
For more information Email Walt or Mike

Targets and ammo to be supplied. Cost for class $35.00 per person, to cover range, Class room, material and lunch.

Date Completed: ________________________________

Instructor: _________________________ NRA#: ______________ Exp: ____________