Individual Registration

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	Shaded Fields Are Required
*Class ID:
*First Name:
*Middle Name:	(If no middle name, enter "NONE")
*Last Name:
*Generation	(Jr., II, etc.... Or, enter "NONE")
Nickname	(If no nickname, leave blank)
*Address:
*City:
*State:
*ZIP:
*must be the same as Drivers License or State ID
Phone:	(include area code)
Alt. phone:	(include area code)
Ext:
Email (Your email address will be added to our free News Letter list. You may opt-out at any time):
Date of birth:
Form of identification:
Issuing state:
DL or ID number:
Would you like to qualify with one of our handguns? (semi-automatic only)