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A Minority and Veteran Owned Small Business
SWaM certified by the State of Virginia # 681681  
Forms
Late registrations / payments will not be accepted and will be returned.  Enrollment is limited due to space.  

There will be no make-up classes available for those who miss any class.

There will be absolutely no refunds available for any reason. 
STUDENT REGISTRATION FORM

 Pre-register and ensure that class space is available.  Call (757) 646-4145 or email me at atac@cox.net.
Last Name: *
First Name: *
Middle Initial: *
Current Address:
City: *
Zip Code: * (5 digits)
State: *
Home Phone:
Cell Phone: *
Email: *
Training Course: *



Please remit by Postal Money Order ONLY!

Made payable to:  Kenneth Miller

I understand that by attending a course/training provided by ATAC is based upon the finest instructors and experts to address the clients challenges.  All students must sign an agreement the first day of class/training regarding policies and procedures.  No video or recording devices are allowed. Cell phones and pagers must be on vibrate or left in you vehicle. 

Both your valid divers license and photo work identification card are required for admission to all classes.  Call (757) 646-4145 or email me at atac@cox.net to pre-register and ensure that class space is available.

Dating and submitting registration indicates that you understand and agree to the details written in this form.   
Date: *

ATAC Supply Order Form

 For more than two or special orders, please contact Kenny Miller.  ATAC st rives to provide quality products, reliable service, and fast delivery.  Please contact us for a replacement within 30 days if the item you receivie is defective or if we have made an error in filling your order. 
Order Date: *
Last Name: *
First Name: *
Company Name:
Mailing Address: *
City: *
Zip Code: * (5 digits)
State: *
Daytime Phone: *
Evening Phone:
Email: *
Manufactor: *
Description of Item: *
Manufactor:
Description of Item:
Ship via:
Shipping Address: *