|
Name: Date of Birth:
Street/PO: City/Town:
State:Zip:Email:
Telephone (H):(W):(C):
Course Name:Date: Fee:
Previous Formal Firearms Course Training:
Reason(s) for owning a firearm (Personal Protection, Target Shooting etc...):
Firearm Make to be used on range?: Model?:
Caliber?:
Have you ever been convicted of a felony?:
Have you ever been convicted of domestic violence?:
Is there a protection order in force against you?:
Where did you hear about us?:
Briefly explain your handgun experience:
Applicants Signature:Date:
Mail / Submit with course fee to:
Maine CWP Training
Mr. Paul J. Mattson
101 Main St.
Harrison, ME 04040
You can also pay online and (MAIL ONLY PAGE TWO) of your signed application if you choose.
|