Your Name including Rank

What department/agency are you with?

Phone Number:

Preferred Email:

Preferred Method of Contact:

Number of (estimated) qualifications.

When do you typically hold qualifications?

How long do your qualification sessions usually last?

How many attendees do you have per qualification session?

What are your preferred days of the week to hold qualifications?

If you are doing night qualifications, how many will you hold a year?

Please list any of the qualifications your lead instructor has. (NRA, USCCA, State of NM, Military, Etc)

 

Copy of your departments insurance policy.

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I am aware that the NRGSC Board will have to approve my department/agencies application prior to issuance of cards or discount codes.

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