Thank you for your payment of the course fee for the Utah CCW Class on Saturday, September 21, 2019 in Burbank, CA.
Please fill out and submit the requested information below, or email the requested information to firstname.lastname@example.org. Please type in your first and last name as you want it to appear on your certificate of course completion. The instructor will contact you by email, so please double check to make sure that your email address is typed in correctly. Thank you.