- 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

email: evilroy@evilroyshootingschool.com

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Name

 

Alias

 

Address 1

 

Address 2

 

City

 

State, Zip

 

Phone

 

E-mail

 

Class Dates Requested

 

Location

 

Pistol Caliber:

 

Rifle Caliber:

 

Shotgun Gauge:

 

Shotgun Type: Double Model 97

List 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: call, mail, or FAX payment info to us)

Cash/Check

Visa/MasterCard

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

 
 
 
 
 
 
 
 
 
 
 
 
 

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