Mass. Law Enforcement Firearms Instructors' & Armorers' Assn.
ADVANCED INSTRUCTOR TRAINING 

MPTC FIREARMS INSTRUCTOR REQUALIFICATION
APRIL 17, MAY 22 or MAY 23, 2018
WORCESTER COUNTY SHERIFF'S OFFICE RANGE

REGISTRATION RESERVATION FORM
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LAST NAME                                                                                                         FIRST NAME                                                                         M.I.    


HOME ADDRESS 


CITY                                                                                                 STATE                               ZIP+4  


MEMBERSHIP TYPE?                                                                       MPTC  Firearms Instructor Level 


AGENCY                                                                                                                               YOUR RANK/TITLE 


AGENCY ADDRESS 


AGENCY CITY                                                                                                                  STATE                           ZIP+4     


AGENCY TELEPHONE                                                                    FAX                   


YOUR E-MAIL ADDRESS   


PLEASE SELECT THE DESIRED COURSE DATE: 




Please indicate which weapons you wish to qualify with:





If you are recertifying with the revolver, you MUST have a proper holster, speedloaders etc for your revolver.  Either standard service revolvers or snubbies are authorized however your holster must fit your revolver.  Be sure to review the ammo requirements for all weapons prior to attending. 


NO WALK IN REGISTRATIONS ACCEPTED





COPYRIGHT 2018  MASSACHUSETTS LAW ENFORCEMENT FIREARMS INSTRUCTORS & ARMORERS ASSN.
Semi Auto Pistol
Revolver
Shotgun
Patrol Rifle