NRA Personal Protection In The Home Registration

• Must be 21 years of age to register

•  $125.00 “Class Fee” (Includes class lecture, materials, and range time. You must have your own gun and ammunition, or you may rent from the gun range).

•  $25 non-refundable deposit is due one week before class, with $100 balance due at time of class. (Certified Checks or Money Orders only, made payable to Ryan Connor)

•  Return completed registration along with fee/deposit to: Downriver Firearms Training: 27231 W. Mockingbird Drive, Flat Rock, MI 48134, 313-213-1285).

TO BE COMPLETED BY APPLICANT

NAME: _______________________________________________________________________________

                                Last                                 first                                 middle

DRIVER’S LICENSE #: _______________________________DATE OF  BIRTH:___________________

ADDRESS: ____________________________________________________________________________

                                    number & street                                       city                   state                 zip code

HOME PHONE #:______________CELL PHONE#:______________WORK PHONE#:______________

E-MAIL ADDRESS:_________________________ OTHER CONTACT:__________________________

CLASS DATE DESIRED: __________