CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN …ag.ca.gov/firearms/forms/pdf/hscof.pdf · CALIFORNIA...

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STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 038 (Rev. 04/2012) PAGE 1 of 1 CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN SAFETY CERTIFICATE PROGRAM SUPPLY ORDER FORM Note: Orders on priced items must be accompanied by a check or money order made payable to Department of Justice. ITEM PRICE QUANTITY TOTAL COST HSC Certificate Set of 10* $150.00 per set (sets only) HSC Study Guide (English Language) $ .50 each Child/Safety Warning Tags no charge no charge HSC English and Spanish Language DVD no charge no charge HSC Written Test Set* (English Language) no charge no charge HSC Written Test Set* (Spanish Language) no charge no charge Certified Instructor Manual no charge no charge *Item may be ordered only by DOJ Certified Instructor TOTAL = Department of Justice Certified Instructor Information Certified Instructor Last Name Certified Instructor First Name Certified Instructor Middle Name Certified Instructor Number Daytime Telephone Number Email Address Physical Address City State Zip Code Shipping Address (if different) City State Zip Code Signature Date Please mail to to the following address: California Department of Justice Bureau of Firearms, HSC P.O. Box 160367 SACRAMENTO, CA 95816-0367 DOJ Use Only Date Received: _______________________ Date Processed: ________________________

Transcript of CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN …ag.ca.gov/firearms/forms/pdf/hscof.pdf · CALIFORNIA...

Page 1: CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN …ag.ca.gov/firearms/forms/pdf/hscof.pdf · CALIFORNIA DEPARTMENT OF JUSTICE . HANDGUN SAFETY CERTIFICATE PROGRAM . ... HSC Study Guide (English

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BOF 038 (Rev. 04/2012) PAGE 1 of 1

CALIFORNIA DEPARTMENT OF JUSTICE HANDGUN SAFETY CERTIFICATE PROGRAM

SUPPLY ORDER FORM

Note: Orders on priced items must be accompanied by a check or money order made payable to Department of Justice.

ITEM PRICE QUANTITY TOTAL COST

HSC Certificate Set of 10* $150.00 per set (sets only)

HSC Study Guide (English Language) $ .50 each

Child/Safety Warning Tags no charge no charge

HSC English and Spanish Language DVD no charge no charge

HSC Written Test Set* (English Language) no charge no charge

HSC Written Test Set* (Spanish Language) no charge no charge

Certified Instructor Manual no charge no charge

*Item may be ordered only by DOJ Certified Instructor TOTAL =

Department of Justice Certified Instructor InformationCertified Instructor Last Name Certified Instructor First Name Certified Instructor Middle Name

Certified Instructor Number Daytime Telephone Number Email Address

Physical Address City State Zip Code

Shipping Address (if different) City State Zip Code

Signature Date

Please mail to to the following address:

California Department of Justice Bureau of Firearms, HSC

P.O. Box 160367 SACRAMENTO, CA 95816-0367

DOJ Use Only

Date Received: _______________________

Date Processed: ________________________