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Last Name:
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Middle Initial:
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First Name:
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Date of Birth:
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Social Security Number:
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-
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-
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DCJS # 99-:
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Physical Address:
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City:
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State:
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Zip Code:
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Home Phone:
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Work Phone:
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Cell Phone:
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E-mail address:
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Course of Instruction
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01I, UnArmed Security Officer In-Service ($50)
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01E, UnArmed Security Officer ($100)
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02E, Private Investigator ($500)
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02I, Private Investigator In-Service ($100)
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05E, Arrest Authority ($75)
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06I, S.C.O.P. In-Service ($75)
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06E, S.C.O.P. ($300)
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07R, Handgun Requalification ($50)
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07E, Handgun Training ($125)
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08R, Shotgun Requalification ($25)
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08E, Shotgun Training ($50)
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09R, Advanced Handgun Requalification ($100)
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09E, Advanced Handgun Training ($250)
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14I, Firearms Instructor In-Service ($100)
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14E, Firearms Instructor ($250)
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32I, Personal Protection Speacilist In-Service ($100)
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32E, Personal Protection Specialist ($500)
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40I, Bail Bondsman In-Service ($100)
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40E, Bail Bondsman ($500)
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44I, Bail Enforcement Agent In-Service ($100)
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44E, Bail Enforcement Agent ($500)
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First-Aid, CPR, AED Each ($75) All ($150)
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Additional Weapon ($25)
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HR-218 ($25)
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Baton-MEB ($75) With OC ($100)
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VA Concealed Carry Permit ($75) (Both $100)
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OC-OCAT ($75) With Baton ($100)
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FL Concealed Carry Permit ($75) Both $100
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Payment Information
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Payment Type:
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Card Number:
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Expiration Date:
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Name on Card:
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Class Dates:
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