Registration Form for UNIVERSAL SHOOTING ACADEMY
Attn: Frank Garcia
(863)635-3425...or fax this form to (863)635-5277
Make check to: UNIVERSAL SHOOTING
ACADEMY
Address: 4300 C.R. 630 East, Frostproof, Florida USA 33843
email:
FrankGarciaUSA@yahoo.com
When you decide on a date, check with us for availability, make a copy of the following registration form, complete it and return it to us with a $100.00 non-refundable deposit. The deposit may be made with a credit card upon the date of reservation. The additional balance will be collected upon course completion. Payment may be cash, travelers' check or credit card (see bottom of form for credit card information).
Print this 2-page form, fill out all information below, and mail with your payment to address above.
NAME:___________________________________________________________________
PHONE:___________________________________________
EMAIL ADDRESS:__________________________________________________________
ADDRESS:________________________________________________________________
CITY:_______________________________STATE:___________________ZIP:_______
COUNTRY:_____________________________FAX:_______________________________
WHAT DATE(S) DO YOU WANT TO RESERVE:____________________________________
WILL YOU BRING YOUR OWN FIREARM: YES______________NO________________
IF YES, WHAT CALIBER?___________________________________________________
WILL YOU BRING YOUR OWN AMMO? YES______________NO________________
WILL YOU NEED LEATHER FROM US TO COMPLETE THE COURSE?
(Holster, Belt, Magazine Pouches): YES______________NO________________
IF YES, WHAT SIZE BELT:
30_____32_____34_____36_____38_____40_____42_____44_____
MALE___________FEMALE___________
CLUB AFFILIATION:________________________________________________________
HOW MANY YEARS HAVE YOU BEEN SHOOTING:___________________________________
DO YOU HAVE ANY COMPETITION EXPERIENCE:__________________________________
ARE YOU INVOLVED IN LAW ENFORCEMENT:_____________________________________
HAVE YOU EVER BEEN CONVICTED OF A CRIME:_________________________________
AT WHICH AIRPORT (IN FLORIDA) WILL YOU BE ARRIVING: MIAMI____________ORLANDO_____________TAMPA____________OTHER______________
CREDIT CARD INFORMATION:
Circle one: VISA MASTERCARD
CARD NUMBER:_____________________________________________________________
CARD EXPIRATION DATE:____________________________________________________
NAME, EXACTLY AS SHOWN ON CARD:__________________________________________