Magnum Hawaii

Firearms Training Signup Form



            Name: _____________________________________  

       Birthdate: _______________________________________

         Address: _______________________________________

City, State, Zip: _______________________________________

      Home Phone: _________________

      Work Phone: _________________

    Mobile Phone: _________________

   Date of Class: _________________
   
   
   Credit Card Information
   Visa, Mastercard, Discover, or American Express

  Credit Card #:  ________________________________

Expiration Date: _____/_____


Email address: ________________________________

I authorize Magnum Firearms to charge my credit card $200.00 plus tax, totalling $209.42, registering me for the NRA Basic Pistol Class, to be held at 940 Queen Street Honolulu, Hawaii, on a Saturday that I confirm with them at least one day before. I understand that after I complete the class I will receive a credit of $100.00 toward the purchase of a firearm.

Signature: ________________________________________ Date:___________

Please sign and fax this form to: 808-596-2095