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Training Registration
*
Indicates required field
Course
*
NRA Refuse To Be A Victim
NRA First Steps Handgun
NRA Basic Pistol Shooting Course
NRA Personal Protection Inside The Home
NRA Personal Protection Outside The Home (not currently Offered)
AR-15 Familiarization
Close Quarters Engagement
Precision Rifle 1
Precision Rifle 2
Emergency Planning & Preparedness
Wilderness Survival
Not all courses are available all the time, please refer to the training calendar to ensure the course you want matches the date in the course date drop down list.
Course Date
*
Private Training
February 27, 2021
Please choose the date of the course that your interested in as that will be the one your registered for.
Name
*
First
Last
This is the name that will go on your certificate of completion, as such we recommend that you use your legal name.
Middle Initial
*
DOB (MM/DD/YYYY)
*
Please enter your DOB in the MM/DD/YYYY format. Sorry for asking, the NRA requires this information to ensure that students are of the appropriate age. Students signing up for non-NRA programs will not have any of their information shared with the NRA.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Physical address please, no PO Box addresses.
Phone Number
*
Personal number as opposed to a work number is preferred.
Email
*
This email address should be a valid and real email account as this is how we will communicate course information. This is also the email address that the NRA will send your completion certificate to (if NRA course.) I will provide this to the NRA and no one else, I hate spam as much as you do and don't under any circumstances sell or provide any of your information to outside interests.
Gender
*
Male
Female
NRA Member
*
Yes
No
We offer discount membership opportunities for those who interested in joining the NRA. You'll have that opportunity on class day.
Would you like to get more information on joining the NRA if not already a member?
*
Yes
No
Payment Method
*
Cash
Check
Gift Certificate
Credit or Debit
Payment arrangements must be handled within 4 business days of registration to complete your registration process and made payable to Jason Bibeau and mailed to Jason Bibeau 46 Hamshire Way Fishersville, VA 22939. Checks are acceptable, but must be from a local bank. Any "bad checks" will incur a $50.00 fee in addition to fees owned for the class. Those students wishing to pay with a credit or debit card should be aware of a credit / debit service fee of 2.75% which will be added to you payment by our staff as a transaction fee from our credit card provider.
Registrations requires acceptance of PMT Course Registration Terms & Conditions
*
I accept all terms & conditions of registering for this class.
The PMT Terms & Conditions can be found
here
.
Special Needs
*
If you have special needs to fully take advantage of training, please indicate and we'll do our best to accomodate those needs.
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