Basf Range Request Form

ADVERTISEMENT

BASF Range Request Form
Email:
basfrequests@azgfd.gov
User Group Name: ___________________________________________________ Date: ________________
Name of Applicant: ______________________________________________ Phone: _____________________________
Signature: ______________________________________ Email: _____________________________________________
Range Time
Lights Required
Building Time
Event Date(s)
Range Requested
Building Requested
Start/End
Yes/No
Start/End
□Pistol □Rifle □Carbine □Shotgun
Notes:
Check all that
□Paper Targets □Steel Targets
Apply – At
□Tactical Shooting □Stationary Shooting
least one from
□Match □Practice □Testing □Training
each row –
Match Name/Training Type:___________________________
Required
□Pistol □Rifle □Carbine □Shotgun
Notes:
Check all that
□Paper Targets □Steel Targets
Apply – At
□Tactical Shooting □Stationary Shooting
least one from
□Match □Practice □Testing □Training
each row –
Match Name/Training Type:___________________________
Required
□Pistol □Rifle □Carbine □Shotgun
Notes:
Check all that
□Paper Targets □Steel Targets
Apply – At
□Tactical Shooting □Stationary Shooting
least one from
□Match □Practice □Testing □Training
each row –
Match Name/Training Type:___________________________
Required
□Pistol □Rifle □Carbine □Shotgun
Notes:
Check all that
□Paper Targets □Steel Targets
Apply – At
□Tactical Shooting □Stationary Shooting
least one from
□Match □Practice □Testing □Training
each row –
Match Name/Training Type:___________________________
Required
Office Use Only:
Current User Agreement on File:
Yes
No
Current Insurance Certificate on file:
Yes
No
Invoices paid and up to date:
Yes
No
Applicant authorized on UG Agreement:
Yes
No
Hold Harmless Clause on File:
Yes
No
Page #_____ of #_____

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2