Impact Shooting Center- Discount Individual Membership

PRIMARY MEMBER INFORMATION

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First Name

Last Name

I am Active Duty, Reservist, or Honorably Discharged Military Veteran

I am active Law Enforcement, Fire, Paramedic or EMT.

Phone Number

Date of Birth

PAYMENT INFORMATION

The card you provide will be charged today to start your membership and then auto-billed on this date each month for your future payments. As long as you keep your membership in good standing, your membership will automatically renew at your current locked in rate, following the initial one year term. Your card on file may be changed at anytime.

BILLING INFORMATION

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Name On Card

Billing Address

Billing Address 2

Billing City

Billing Zipcode

Card Number

CVC

ORDER SUMMARY

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WHAT'S NEXT? Once the waiver is signed, you will soon receive an email which contains information on how to receive your key fob. PLEASE CHECK YOUR SPAM/JUNK FOLDERS.

PURCHASE AND CONTINUE TO WAIVER

INDIVIDUAL DISCOUNTED MEMBERSHIP

One Named Adult

PAYMENT INFORMATION