NOTE: The current course scheduled for Cannon AFB Personnel, to be held on base is Dec. 6-7, 2008 from 9am until 6pm both days.

Cost of this course is $75 pre-paid. I cannot accept PayPal for this course.

Please contact MSgt Mounce at AFSOC 27 SOSFS/S4C, COMM: 784-2820 to pre-pay or contact:

Steve Aikens

2913 Harrison Ave.

Clovis, NM 88101

(505) 762-0365

Note: All fields are required: As you fill this out - keep in mind that this enters your data into the database from which all your documents are created, including your NRA certificates and other CHL certificates issued.

If you want your documents to be printed last name first, then that's how you should enter your name here.

USE PROPER SENTENCE CASE - ie., it's James, not JAMES or james. All dates are to be in the format [mm/dd/yyyy].

Course Date: [mm/dd/yyyy]

Name: [First Middle Last]

Email Address:

Confirm Email Address:

NOTE: Residence address is REQUIRED.

Home Address:

Note: Mailing Address if different from residence only.

Mailing Address: Put N/A if same as Home Address

City:

State:

Zip:

Phone:

Date of Birth: [mm/dd/yyyy]

NRA Number: Put N/A if this doesn't apply

Type Course: [O=Original, R=Renew, G=Guard, C=Cannon AFB]

Semi-Auto Caliber: Put N/A if this doesn't apply

Revolver Caliber: Put N/A if this doesn't apply