Umpteen Rounds Shooting Club Credentials Submission Form

Umpteen Rounds Shooting Club Credentials Submission Form
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Current age:
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
How did you hear about us?*
Please Specify*
Are you an active member of any Clubs? If yes, please list the name & affiliation.*

SororityBiker ClubSocial Club
This is a fill in the Club affiliations field. Please add appropriate blank fields and text.
Please list and upload valid credentials, certifications, training &/or professional certifications/qualifications. i.e., CCW, OPOTA, MARTIAL ARTS, BOXING, POLICE ACADEMY, MILITARY, WEAPONS TRAINING, TEACHER/TRAINER. *

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What is your purpose for wanting to join Umpteen Rounds Shooting Club, Inc.?*
Umpteen Rounds is an elite, professional, all-women's organization that stands firm on the integrity and character of its members. This is NOT a social club. Are you prepared to have a background check, social media check, and take a comprehensive test to gauge your knowledge of state and federal laws and rules pertaining to firearm safety, transport, training, self-defense and professional security?

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Signature*
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