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Client Application
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Business Name / Agency Name
Name of Primary Contact Person
*
First
Last
Primary Contact Person's Email
*
Primary Contact Person's Phone #
*
Primary Contact Person's Driver's License
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 20 files.
Upload image of FRONT and BACK
Client Type
*
Event Organizer
Law Enforcement Agency
Private Firearms Instructor
# / of
Credentials
*
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Choose Files to Upload
You can upload up to 20 files.
Upload the NRA, USCCA, RSO, and POST Certifications for ALL instructors, assisting instructors, and range safety officers.s
Proof of Insurance
*
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Choose Files to Upload
You can upload up to 5 files.
Must have at least $1M of liability coverage
You will need to add Tetelestai Range, LLC. as an additional insured on policy once approved
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