102 CCW Class App

Stillwater Armory
Prepare. Defend. Survive.

102 Oklahoma Concealed Carry Class Application

Instructions:

Once the form is complete, click submit and your application will be sent. You will receive confirmation of application and an information pack by e-mail. Payment of class fees in the amount of $60 can be made via PayPal (check button below to be sent a PayPal invoice), by credit card or can be sent to the address listed in the registration packet to secure a class date. Your position in the class is not secured until the payment is received. Class sizes are kept to a minimum in order to provide the optimum learning environment and slots fill quickly so please don't delay in securing your preferred class date with payment.

You will receive an information pack by e-mail. If you don't see the information pack in your "In-Box", please check your "Spam" folder. Information packs are generally sent within 24 hours of application.

Legal Name - As you want it to appear on your certificate/license:
Address:
Address 2:
City:
State:
Zip Code:
Phone Number:
E-Mail: (You must enter your e-mail address in order for me to contact you electronically.)
Birth Date:
Oklahoma Driver's License Number (To Verify Oklahoma Residency)

I would like to qualify to carry a:
(Qualifies you to carry a Derringer Only)	Qualify Derringer
(Qualifies you to carry a Derringer or Revolver)	Qualify Revolver
(Qualifies you to carry a Derringer, Revolver, or Semi-Automatic)	Qualify Semi-Auto



Do you need a rental pistol?	Yes - Rental
The type of handgun I plan to use for the training course is a: (Rental OR Make, Model, and Caliber of Your Hangun):


Class Date: Current Open Dates - 8/7/10, 8/28/10 Private Date (Ediger) - 8/21/10

Please list the name you prefer to be called if different than legal name:


What prior firearms experience or training do you possess? No experience is needed for the course but this helps me tailor the class to fit different experience levels.
Please indicate how you would like to pay your class fee. Submitting your payment secures your position in the class.	Pay by Credit Card. "Pay Now" button will appear after you submit your application.
	PayPal Invoice
NOTE: Payment is required within 10 days of application date.	Pay by Check or Other Funds
Notes or Questions for the Instructor:


Please check how you learned of our class?	Shop 'N Swap or Show & Tell Classified Ad
	O'Colly Classified Ad
	Word of Mouth or Referral
	Internet Search Engine
	OSBI Website
If you learned of our class via some other means, please explain:

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