Rapid Response Enrollment Form
Front Sight Patriot Lifetime Membership

Yes Dr. Piazza! I want to take advantage of the Front Sight Patriot Lifetime Membership! Sign Me Up! I understand by enrolling immediately in a Front Sight Patriot Lifetime Membership I receive the following:

• Attend the following courses Free of Charge and As Many Times As You Wish for the Rest of Your Life: Two Day Defensive Handgun; Two Day Tactical Shotgun; Two Day Practical Rifle; Four Day Defensive Handgun; Four Day Tactical Shotgun; Four Day Practical Rifle.
• Guaranteed Placement in Your Courses with Two Weeks Advance Enrollment.
• Invitation to Annual July 4th Lifetime Members’ Reunion Celebration.
• Name etched in First Family Monument.
• Password to access exclusive and restricted First Family areas of web site and e-mail forum.
• First Family Card and First Family Hat.

Choose ONE Payment Plan:
90 monthly credit card payments of $88 for a total cost of $7,920.
60 monthly credit card payments of $99 for a total cost of $5,940. (You Save $1,980!)
Single payment of $4,900 (You Save $3,020!)

Name to be placed on your membership:____________________________________________________

Address: ___________________________________________________________________________

City: ___________________________________________ State: __________ Zip Code: ____________

Home Phone: ______________________________ Work: ____________________________________

Credit Card Number: ____________________________________________ Expires: _______________
(VISA, MasterCard, Discover, American Express or a combination of cards for the single payment)

Signature: ____________________________________________________ Date: _________________

Fax Immediately to 831.684.2137 or Call 1.800.987.7719 to Enroll Over the Phone
If paying by check, mail TODAY to PO Box 2619, Aptos CA 95001