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Application Form

Application Formadmin2016-05-20T13:19:59+00:00

Proactive Self Defense Application Form

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  • Price: $299.00
  • Price: $12.00
    One time charge only and does not repeat every month / year. 100% of this will be donated to the Connecticut Citizens Defense League (CCDL).
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    - I have accepted to the terms and conditions and notice of privacy of Proactive Self Defense LLC
    - I am at least 21 years old and can legally own a firearm(s) in the State of Connecticut.
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Phone: 203-996-6992 | Address: PO Box 120078 | East Haven CT 06512

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