- APPLICATION FORM -

Evil Roy Shooting School, Inc.

909 North Hidden Valley Circle, Durango, CO 81301

PHONE: 970-247-1234...........FAX: 970-259-6111

Contact: Gene Pearcey - aka: “Evil Roy” S.A.S.S. #2883

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email: evilroy@evilroyshootingschool.com

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If you would rather not submit this form via e-mail please click

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for a printabe form to fill out and mail or FAX.

All fields in Red are required - press <Tab> to advance to the next field

Name:

Alias:

Address 1:

Address 2:

City:

ST/Zip:

Country:

   

Phone:

   

E-mail:

Class Dates & Location:

Pistol Caliber:

Rifle Caliber:

Shotgun Gauge:

Shotgun Type: Double Model 97

- List any additional family members who will be attending the school -

Name:

Alias:

Name:

Alias:

Name:

Alias:

Name:

Alias:

Cost of Class: $250.00

Additional immediate family members: $150.00 each. SASS junior shooters free with paid adult shooter.

Total Number Attending: Total Cost of Class:

Payment Method - Check One

(50% Deposit Preferred)

Cash/Check
Call, mail, or FAX payment info to us

Visa/MasterCard
Call, mail, or FAX payment info to us

Online Visa/MasterCard
Instructions will follw after Submit 

Please list below the three things most important to you to be covered in class:

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