Last Name (as it appears on your drivers license) *
Your answer
Email *IF YOU DON'T HAVE ONE: PLEASE INCLUDE A CLOSE FRIEND OR FAMILY MEMBER'S EMAIL (we will be sending you important class info. Please check your spam/junk/promotional email folders periodically) *
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Please re-enter your EMAIL to confirm it is correct! *
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Age *
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Date of Birth
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Mobile Phone Number We may text or call you *
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City *
Your answer
State (Please choose only 1) *
Required
National Rifle Association Identification Number (NRA ID). *Only required if you are taking a course with "NRA" in the title*
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How did you hear about Gurnee Pistol Academy? (Check all that apply) *
Required
Enter the Exact Name on the Credit or Debit Card, or PayPal that you will be using to pay for your course today. *
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After completing this form: 1) Click This link: http://www.gurneepistolacademy.com/register.html . 2) Select the course from the drop-down box on the "PayPal Payment" link to complete your payment.
*Note: If you do not have to have a PayPal account to pay. Securely enter your debit/credit info into the PayPal website and they will send you a payment confirmation email once complete. *If you are not able to pay with Credit or Debit Card using PayPal, a cash in class option is available however, you will need to leave a comment at the bottom indicating this! *Click the below box to confirm you have Read & Understand the above Registration & Payment Instructions. *
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Please comment here if you a paying cash in class on date of course