Event Registration Form ClassSF&G MEMBER - USCCA Concealed Carry - IndividualUSCCA Concealed Carry - IndividualSF&G MEMBER - USCCA Concealed Carry - CoupleUSCCA Concealed Carry - CoupleSF&G MEMBER - Basics of Pistol Shooting Instructor Led Training (ILT) - IndividualBasics of Pistol Shooting Instructor Led Training (ILT) - IndividualSF&G MEMBER - Basics of Pistol Shooting Instructor Led Training (ILT) - CoupleBasics of Pistol Shooting Instructor Led Training (ILT) - CoupleSF&G MEMBER - NRA Basic Pistol Instructor CourseNRA Basic Pistol Instructor CourseMember NumberName(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code GenderMaleFemaleD.O.B. MM slash DD slash YYYY Event Date(Required) MM slash DD slash YYYY NRA ID #NRA Instructor #Total CAPTCHACredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name
