New Mexico CHL

Instruction

Personal Concealment Solutions, Inc.
Steve Aikens
NRA Certified, New Mexico Approved Instructor
575-762-0365

NRA Training Counselor

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Course Registration Form

One registration is required for each student.

If you're signing up a friend, husband or wife to attend the same class you are attending - insure that each student has sent a form.

 

NOTE: You MUST know the course date you wish to attend. If there is no course scheduled - Do not fill out this registration form. Click this link to sign up for email notification of upcoming courses.

You may prepay at Cross Hair Gun & Sport, 214 N. Main St in Clovis. Prepayment may also be mailed to:

Steve Aikens
2913 Harrison Ave.
Clovis, NM 88101
(575) 762-0365

Note: All fields are required: As you fill this out - keep in mind that this enters your data into the database from which all your documents are created, including your NRA certificates and other CHL certificates issued.

If you want you documents to be printed last name first, then that's how you should enter your name here.

USE PROPER SENTENCE CASE - ie., it's James, not JAMES or james. All dates are to be in the format [mm/dd/yyyy].

Course Date: [mm/dd/yyyy]

Name: [First Middle Last]

Email Address:

Confirm Email Address:

NOTE: Residence address is REQUIRED.

Home Address:

Note: Mailing Address if different from residence only.

Mailing Address: Put N/A if same as Home Address

City:

State:

Zip:

Phone:

Date of Birth: [mm/dd/yyyy]

NRA Number: Put N/A if this doesn't apply

Type Course: [O=Original, R=Renew, G=Guard]

Semi-Auto Caliber: Put N/A if this doesn't apply

Revolver Caliber: Put N/A if this doesn't apply



Personal Concealment Solutions, Inc.
Steve Aikens
NRA Certified, New Mexico Approved Instructor


Clovis, NM
Email: steve -AT- nm-ccw.com

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Clovis, NM
(505) 762-0365