Request Help in Planning Your First Shots Seminar

First Name
Last Name
Range Facility
Title/Position
Address
Address 2
City
State
Zip
Phone
FAX
Email
Please indicate the discipline of your seminar(s) and whether you will need loaner firearms: (check all that apply)	Seminar Discipline: pistol rifle shotgun	Request Loaners: pistols rifles shotguns
Dates/Times of Seminars ** Seminars must be planned AT LEAST 60 days in advance	MM/DD/YYYY HH:MM am/pm
	MM/DD/YYYY HH:MM am/pm
	MM/DD/YYYY HH:MM am/pm
Where did you learn about the First Shots Program?