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Attendance Information
* Conference:
* Name:
 
* Address:
 
 
 
 
 
* City:
 
* State:
* Zip:
 
Email:
 
* Phone:
 
Club / Range / Agency:
Purpose of Attending:
 
How you heard about the conference:
 
Emergency Contact Information
* Name:
 
* Phone:
 
Payment Information
* Credit Card:
* Name on Card:
 
* Card Number:
 
* Exp Date:
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Conference Venue and lodging information will be provided at time of Registration. Registration for the conference is $475.00 (non-refundable), which includes all conference materials as well as a copy of the NRA Range Source Book on CD-ROM.

By submitting this form, I Affirm the following:
  • I am a citizen of the United States or a lawful permanent resident of the United States;
  • I am not an employee of any foreign corporation, business association, partnership, trust, society or any other entity or group that is not incorporated or organized to do business in the United States, or any international organization, foreign government or any agency or subdivision of a foreign government (e.g., diplomatic mission); and
  • I may lawfully attend this school and lawfully receive assistance, training, data and information regarding firearm ranges; I have read and understand the requirements and restrictions on attending this training and the information I have provided is true and accurate.
  • I will complete a Release of Information and return it to the Range Services Department.