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Registration Form

Course you are Registering for:
Firearms and Tactics For SRO
August 17-19, 2010
Woodbury, MN
FEE: $495


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		 Download PDF (Fill Out, Bring it With You)
Par-Q Required?

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
650 Light Tower Dr.
Belleville, MI 48111
or e-mail PO# to:
louann@loukatactical.com

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Enter Security Code:
(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.

© 2010 LouKa Tactical Training LLC