Red Dot System Instructor Registration

Attendee Name

First NameLast Name
Attendee #2 Name

First NameLast Name
Attendee #3 Name

First NameLast Name
Personal / Agency Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
POST #
TYPE N/A IF YOU DO NOT HAVE ONE. DO NOT LEAVE BLANK.
Agency Name
Training Location
Training Date
By checking this box, I affirm that I have read and understand the prerequisite requirements for the MSA Red Dot System Instructor Course. I acknowledge that this is not a beginner-level course and is intended for experienced shooters only. I certify that I possess a strong foundation in all aspects of shooting fundamentals, and that I have the physical ability and technical background necessary to safely participate in this instructor-level training.
Invoice My Agency
Agency Name
Name of person to be invoiced.

First NameLast Name
Email
example@example.com
My Products
prevnext( X )
Contracted Agency
For agencies that contract with MSA for CLEE training.

$150.00 Quantity



Invoice Me - Contracted
Select the number you want invoiced at $150

Free Quantity



Non-Contracted Agency
For agencies that are NOT contracted with MSA for CLEE training.

$300.00 Quantity



Invoice Me - Non-Contracted
Select the number you want invoiced at $300

Free Quantity



Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.