FirearmSafety Law Seminar Application

Please PRINT OUT This Application Form, Fill It Out, and Mail It To The Address Below

FirearmSafety.Net

"Firearms & The Law" Seminar Application

Date of Requested Seminar: _____________

NAME: _____________________________________________________________________________

MAILING ADDRESS: _____________________________________________________ APT #: ______

CITY: _______________________________________________ STATE: _________ ZIP: ___________

E-MAIL ADDRESS: __________________________________________________________________

BIRTHDATE: _______________ WORK TEL: _________________ HOME TEL: __________________

Payment Method: qCheck or qMoney Order Enclosed

NOTE: Check or Money Order Should Be Made Payable To: "Media Guys Inc"

Please Mail This Completed Application Along With The Appropriate Payment To:

FirearmSafety

Jeff Weinstein, NRA Certified Chief Instructor

PO Box 373

Yarmouth ME 04096

Any Questions? Please Call 207-846-3000

Please Allow Approximately 3 To 5 Days For Processing

Thanks!

Your Enrollment Will Be Acknowledged By E-Mail or Telephone