Reverse Side of this Form Contains Additional Information
BRG Firearms Training
Presents the
NRA Basic Pistol Course
January 28
th
, 2012
Location for the Classroom Portion
Holiday Inn Express
–
2201 Cherry Lane, Hellertown, PA
Classroom Location
–
Exit 67 from Interstate 78
–
Hellertown / Bethlehem Exit
Registration & Continental Breakfast Class Room Portion of the course
8:00 AM to 9:00 AM 9:00 AM to 3:00 PM
Registration Fee: Range Time Portion of the Course
$200.00
per/person
Two (2) hours per studentwill be scheduled Individually
Seating will be limited to
12
Students at each Basic Pistol Course
Advance registration required!
Credit Card & EFT / Debit Payments are accepted through PayPal
registration@brgresearchgroup.com
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Registration - Seminar
–
NRA Basic Pistol Course
–
January 28
th
, 2012
Name:
___________________________________________________________________
Street Address:
___________________________________________________________________
City/State/Zip:
___________________________________________________________________
Telephone/Ext:
___________________________________________________________________
E-Mail Address:
___________________________________________________________________ [ ] Payment Enclosed [ ] Payment Processed through PayPalRemitting payment by Check
–
Please make checks payable to
Dr. Diana Sorrentino
Mail your completed registration forms and payment to:
Dr. Diana Sorrentino
–
BRG Firearms Training
1866 Leithsville Road
–
Suite 262
–
cellular
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