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Course Enrollment Form

Homegunsafety.com

PO Box 73

Hopkinton, MA  01748

Please provide us with the following information to enroll in a course:

Full Name  (Exactly as you'd use with your LTC or FID Application including middle initial.)

E-mail 
E-mail (Confirm)
Street
City
State
Zip
Age
Gender
Phone - Day
Phone - Evening
Phone - Cell
Best Time to Call
Right or Left Handed
Prior Firearms Experience
Course Enrolling In
Requested Course Date
Payment by
Please contact me as soon as possible regarding this matter.

You will receive a seat confirmation and directions to the class when both this enrollment form and payment is received.   To make payment on line via credit card or electronic check transfer, please return to your course page and refer to the Payment Icons on the bottom of the page. Otherwise, you may send a check or money order to the above address made payable to Mike Burchman. Classes are filled on a first come first serve basis.  

** Please check your email for course confirmation regularly including your SPAM Folder since sometimes emails have been interpreted as SPAM.  Please write if you haven't received a reply within 48 hours.

Please enter your questions or comments in the space provided below and we'll get back to you as soon as we can:

 


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Revised: May 15, 2011 .