#NotMeOC Request Form

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Thank you for your interest in the #NotMeOC program. Please fill out this short form to provide your information and you will be matched with an Ambassador as soon as possible.

What is your name? (First Last) *

What is your email address? *

What is the best phone number to reach you, and is it ok to leave a voice mail at this number? *

Which contact method do you prefer?

Email only

Phone only

No Preference/Either is fine

Clear selection

What is the best time to contact you?

Morning

Afternoon

Evening

Clear selection

To find the best services local to your area, which city or part of Orange County do you live in?

Training History

Have you ever handled a firearm before?

Yes

Clear selection

Have you ever taken a professional firearms training course?

Yes

Other:

Clear selection

Are you interested in receiving training in the safe operation of a firearm?

Yes

Maybe

Clear selection

If so, would you prefer a classroom environment or one-on-one training?

One-on-One

Small Classroom

No Preference

Clear selection

What is your budget for training?

$0 to <$100

$100-$250

$250-$500

$500-$1000

$1000 or more

Clear selection

Firearms Ownership

Do you currently own a firearm

Yes

Clear selection

If "yes", which types of firearms do you own? (Check all that apply)

Pistol

Rifle

Shotgun

I'm not sure

If "No", are you interested in guidance with selecting a firearm to purchase?

Yes

Maybe

Clear selection

Obtaining a Concealed Carry Weapon permit ( CCW )

You MUST have a CCW permit in order to carry a firearm outside of the home for protection in CA. Are you interested in receiving help in applying for your California CCW?

Yes

Maybe

Clear selection

If you do not own a firearm that is practical for concealed carrying, are you interested in assistance in purchasing one?

Yes

Maybe

Clear selection

Do you have a CCW permit for a state other than California?

Yes

Clear selection

If "Yes", which state(s)

Is there anything else you would like us to know?

Disclaimer

#NotMeOC is strictly a referral service. We are not responsible for your personal safety while utilizing our services

By electronically submitting this questionnaire, the applicant agrees that she/he/they are legally able to own a firearm, including but not limited to being 21 years of age, not a felon, and not the subject of a restraining order. *

I am legally able to own a firearm

Required

By submitting this application for services, the applicant agrees to follow the four basic rules for handling firearms *

Treat all guns as if they are loaded, even if you know they are not

Keep your finger off the trigger until you are ready to fire

Do not point a gun at anything you are not willing to destroy

Be aware of your target and surroundings at all times

Required

By electronically signing this questionnaire, the undersigned acknowledges that there are risks associated with the use of firearms and being in proximity of their use. The undersigned voluntarily assumes all risk of injury and loss from all such activities. The undersigned unconditionally releases and holds harmless Orange County Gun Owners PAC, its employees, its members, or its representatives should any harm result in operating a firearm. *

I agree to release and hold harmless Orange County Gun Owners PAC, its employees, its members, and/or its representatives from any harm resulting in the operation of a firearm.

Required

By virtually signing this application, you agree to the above aforementioned, and agree that all information is true, to the best of your knowledge. Please type your name below. *

Thank you, again, for your interest in #NotMeOC. We look forward to working with you. You will be hearing from an Ambassador soon!

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