ACTC Membership Application Form

Membership Application
Name*

First NameLast Name
Are you older than 21?*
Are you a U.S. Citizen?*
E-mail*

Confirmation Emailexample@example.com
Mobile Number*

Area CodePhone Number
State of Residence
T-Shirt Size*
If you own a business, are you interested in receiving corporate membership details? *
Profession*

MilitaryLaw EnforcementContractorCivilianOther
Please list any references here. Also if you were Military/LEO/Contractor, give description of what you did:
What type of formal training have you received in the past:*
What classes have you attended:*
How long have you carried a concealed pistol:*
Members will have the opportunity to train at night. Does this interest you?:*
What Classes of Low-Light / No-Light / Diminished-Light training do you have?*
Do you own Night Vision? What is your experience utilizing NVGs *
How did you find out about ACTC? Do you know any of our current members?*
Why do you want to become a member at ACTC:*
APPLICATION TERMS

By submitting this application you certify the above to be true. The applicant is also asserting that they are willing and able to submit payment for annual membership.
Should be Empty: