Take the Firearms Safety Class

Your Information

Please note: The name as entered below will appear on your certificate.

First Name:

Middle Name or Initial:

Last Name:

Suffix:

Date of Birth (MM/DD/YYYY):

Address:

Address 2 (Apt, Suite, Unit):

City:

County:

State:

Zip:

Phone:

Driver's License or I.D. Number:

Create Your Account

Please note: This email/password combination will be your login information for The Concealed Carry Institute website. It is not required (and for security purposes, not recommended) to choose the same password as you use for your email account.

Email:

Verify Email:

Create Password:

up to 15 characters

Verify Password:

Payment Information

Please note: The #1 reason for Credit Card rejection is by not furnishing the current Billing Address where called for below.

Card Type:

Card Number:

Expiration:

Card Identification Number:

Last 3 numbers on back (if AmEx, it's 4 numbers on the front).

Copy Name and Address from Above

Card Billing First Name:

Card Billing Last Name:

Card Billing Address:

Card Billing City:

Card Billing State:

Card Billing Zip:

I agree to the Terms & Conditions. I understand that a ONE-TIME charge of $29.99 will be made to the above credit card.

PLEASE NOTE! Our payment system does not work with Prepaid or 'Gift' Credit Cards. You MUST use a valid Visa, Mastercard, American Express or Discover card issued from a financial institution.