P.O. BOX 11      BRIMFIELD, MA  01010-0011
E-mail  SECRETARY@MLEFIAA.org
FIREARMS INSTRUCTOR'S COURSE MANUAL
ORDER FORM
PLEASE PRINT CLEARLY OR TYPE

NAME: _________________________________________________            RANK/TITLE: __________________

AGENCY: ___________________________________________________________________________________

AGENCY ADDRESS: _________________________________________________________________________

CITY/TOWN: ______________________________________     STATE: _______      ZIP+4: ________________

AGENCY PHONE #: _____________________  FAX #:_____________________    E-MAIL: ________________

SHIPPING ADDRESS (if different from above)

ADDRESS: __________________________________________________________________________________

CITY/TOWN: ______________________________________     STATE: _______      ZIP+4: ________________

How did you first learn about our Manual?: _________________________________________________________

Please send me ______ Firearms Instructor's Course Manual(s).  I understand that the cost per Manual is 
$35.00 for MLEFIAA members, ($40.00 for a non-MLEFIAA members).  For International orders, please add $6.00 shipping & handling.  Payment by check/money order or Department Purchase Order MUST be enclosed. 
Make checks payable to M.L.E.F.I.&A.A.  Delivery time is approximately 4-6 weeks after order is received.  Pleae send orders to: MLEFIAA Instructor Manual, P.O. Box 11, Brimfield, MA 01010-0011.

MLEFI&AA MEMBERSHIP STATUS (Check appropriate catagory)

   ____ MEMBER  Membership ID# _______________           ____ Non-member (Save money by joining now!)

Format:  CD in Windows based format only at this time 

Total number of Manuals ordered  ______  x  $______             =    $______________

S&H  $6.00 (International orders only)  Free to USA             =    $______________

Total                                                                                    =    $______________

Payment method (check one)   ____ Check/Money Order       ____ Agency Purchase Order

IMPORTANT NOTE: Although the material and information contained in the Manual is not restricted per se, we do limit the sales of the Manual to bona-fide law enforcement officers only.  You must include your rank/title, agency name, agency address and phone number for verification purposes.  Any orders which do not include this information will be returned.

Any questions?  Contact us by E-mail at Secretary@MLEFIAA.org
                                                                                                                                     

OFFICE USE ONLY - DO NOT WRITE BELOW

Date received: ____________________        Date paid: __________________         Check #: _______________

P.O. #: __________________________        Date invoice sent: ____________________   Payment received: ____________

Invoice #: ________________________        Date transmitted for shipment: ______________________

                   Copyright 2006  Massachusetts Law Enforcement Firearms Instructors' & Armorers' Association     Form 10W  Revised 1/2018