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Registration Form

Course you are Registering for:
Survival Pistol for the Female Officer
August 28-29, 2017
Richmond, CA
FEE: $299.00


Last Name

First Name

M.I.

Street Address

City

State

ZIP

Email

Phone

Age

Sex

Employer/Organization

Work Phone

Contact Person

Contact Email

Method of Planned Payment
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This registration form authorizes LouKa LLC to submit a bill for payment, for all specified fees related to the training for the participant listed above.

Please complete this registration and mail payment form to:

LouKa Tactical Training
804 Lexington Cross Dr.
Las Vegas, NV 89144
or e-mail PO# to:
louann@loukatactical.com

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(You will recieve a copy of this form via email.)

Cancellation Policy
Agency cancellations must take place 15 days prior to class start date. Departments will remain responsible for payment if not completed before this deadline. LouKa LLC reserves the right to cancel classes in the event of insufficient enrollment. If this class cancels, you will be notified prior to the class start date. All fees will be reimbursed.

© 2014 LouKa Tactical Training LLC