Please PRINT OUT This Application Form, Fill It Out, and Mail It To The Address Below


"Firearms & The Law" Seminar Application

Date of Requested Seminar: _____________

 NAME: _____________________________________________________________________________

 MAILING ADDRESS: _____________________________________________________ APT #: ______

 CITY: _______________________________________________ STATE: _________ ZIP: ___________

 E-MAIL ADDRESS: __________________________________________________________________

 BIRTHDATE: _______________ WORK TEL: _________________ HOME TEL: __________________

 Payment Method: qCheck or qMoney Order Enclosed

NOTE: Check or Money Order Should Be Made Payable To: "Media Guys Inc"

 Please Mail This Completed Application Along With The Appropriate Payment To:


Jeff Weinstein, NRA Certified Chief Instructor

PO Box 373

Yarmouth ME 04096

Any Questions? Please Call 207-846-3000

Please Allow Approximately 3 To 5 Days For Processing


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Your Enrollment Will Be Acknowledged By E-Mail or Telephone