Private Range Instruction Request

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Last digits Security

Certificate First Name *

Certificate Middle Initial (use NMN is none) *

Certificate Last Name *

Last six digits of student's Social Security number *

enter as XX-XXXX (2 digits followed by a dash and then the last four digits)

Driver License or ID Number *

Issuing State (2 letters only)

LTC Number

Texas LTC or any state issue license to carry a handgun permit and issuing state abbreviation

Description of the instruction you are requesting *

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