Registration Details

Concealed Carry Course

Regis. ID: D0C2195DA7

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

Payment Details

Payment Method	All payments processed by PayPal
Registration Status	Complete
Total	$35.00
Amount Paid	$35.00
Balance Due	$0

Details

Primary Registrant

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

First Name

Mitchell

Last Name

Tate

Email

mitch.tate@att.net

Address

7216 Reynard Lane

City

Charlotte

State

NC

Zip

28215

Phone

704.567.5867

Birthdate

6/27/1963

Please enter your date of birth.

Voucher #

0385-8069

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

Comments

Will be with Alisha Tate.

Practical Arms