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Please fill out all information below to register.
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| Course (Unit, Date):
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| First Name:
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| Last Name:
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| DOB (Date of Birth):
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| Address:
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| City:
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| State:
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| Zip:
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| Phone:
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| Email:
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| Comments:
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Payment being mailed after submitting this form to:
Anchor Security, 96 E. Center Street, Berea, Ohio 44017
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Payment Enclosed (If Printing and Mailing in this form)
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Puchase Order #
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Credit Card using Paypal (Payment will be supplied in the next step after registration)
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| Discount Code
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| **Applicants to any firearms program must agree to the following statement(s):
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- I have not been convicted of a felony in any jurisdiction of the United States or under the uniform code of military justice
- I have not been convicted of an offense of domestic violence or any related offense occurring as a result of a domestic violence incident
- I am not under a weapons disability as set forth in O.R.C. 2923.13
- I do not have criminal charges pending in any jurisdiction
- I agree to the Terms and Conditions (link below)
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| Click to review Terms and Conditions |
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** Click
Only Once! *** |
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*** Please click submit only once! ***
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