Life and Liberty Defense Registration Form
For questions or concerns please contact us at lifeandlibertydefense@gmail.com or 218-434-3370
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Email *
Please choose your class date *
If attending a private class, please type the last name of your host below:
Please enter your FULL LEGAL NAME
(Must match your drivers license)
*
(First, Middle, Last)
Date of Birth  *
MM
/
DD
/
YYYY
Full mailing address (Incuding city, state, zip) *
Phone Number  *
Handgun Experience  *
A copy of your responses will be emailed to the address you provided.
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