Northwest Survival Skills, LLC

CCP/Handgun Basics Course Registration












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To register for the CCP/Handgun Basics Course, please fill out the form below.














The information provided to us on this form is used for registration purposes for course only.  No information from this form is provided or sold to any other entity for marketing or other purposes.














Please fill out this form completely then click on the "submit" button at the bottom of the form.  If you wish to print a copy of the form for your records click on the "Print this" button at the bottom of the form PRIOR to filling in the form and clicking submit.

Registration information:
First name:
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Last name:
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Phone:
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Email address:
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Rank:
(If applicable)
Mailing address:
Billing/Payment Information:
Course you wish to register for:
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Course Date:
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Course Location:
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Method of payment:

*** All payments must be received in advance!  If payment is not received, certificate will be held and certification will be held as inactive until payment is satisfied!  We will only accept payment at the time of, or after, the course by prior approved special arrangement.***

Billing Address:
(If different than mailing address)



Billing Attn:
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Northwest Survival Skills, LLC * P.O. Box 2228 * Clackamas * OR * 97015 Phone: (971) 570-2284 Fax: (503) 668-1362