DPS Pepper Spray Certification

Account Information

First Name *

Last Name *

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Username *

Password *

Confirm Password *

Address *

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Country *

Postal Code *

Legal First Name *

Legal Last Name *

Last 6 digits of Social Security Number *

Were you referred? Please list who or what company! *

Payment Information

Initial registration

$

Subsequent fees

$

Promo Code

Credit or Debit card

I accept the the member contract*