Michael R. Pear

NRA Certified Instructor

Telephone: 203.237.3006
Web Contact:  NRA Certified Instruction

Home

General Info

Classes

Register

FAQ

Contact

 

ONLINE REGISTRATION

Please fill out all information!

Attention Firefox users, this form must be filled out using

Internet Explorer or Netscape it will not work with Firefox.

 

All information submitted will be kept 100% confidential.

 

Personal Information

All requested information is required to process your registration.

Name: 

 

          As it appears on your Driver's License.

Address:

  

City:

    State:

Zip:

              Phone:      -      -      

Sex:      DOB:   

E-mail:

 

 

(Will only be used to contact you regarding this registration)

Class Information

        Class Date:

Enter questions or comments:

 

© COPYRIGHT 2008-2010

ctpistolclass.com

webmaster