Registration Details

Concealed Carry Course

Regis. ID: 42AB7DC268

Location
Bass Pro Shops
8181 Concord Mills Blvd.
Concord NC 28027

Payment Details

Payment Method	All payments processed by PayPal
Registration Status	Incomplete
Total	$95.00
Amount Paid	$0
Balance Due	$95.00

Details

Primary Registrant

Please be sure all information is the same as your NC driver's license.

First Name

Tamika

Last Name

Russell

Email

tamika_russell@yahoo.com

Address

5027 Jean Grimes Drive

City

Charlotte

State

North Carolina

Zip

28269

Phone

704-737-5070

Birthdate

02/25/1980

Please enter your date of birth.

Voucher #

2019-9363

If you have a voucher #, please enter it here.

Comments

This is the number from my groupon.

Practical Arms