MT2-Outdoor Range Questionnaire

Name of Facility:
Physical Address of Range:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
reply to email
Mailing address if different

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Point of Contact: Full Name

First NameLast Name
Title
Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
E-mail Address
example@example.com
PROMOTION CODE
How did you hear about MT2?
Range Description: Range #1
Number of Positions
Backstop Type

Other
Height of Backstop
Width of Backstop
Ammo Type
Type of Range
Range Description: Range #2
Number of Positions
Backstop Type

Other
Height of Backstop
Width of Backstop
Ammo Type
Type of Range
Range Description: Range #3
Number of Positions
Backstop Type

Other
Height of Backstop
Width of Backstop
Ammo Type
Type of Range
Range Description: Range #4
Number of Positions
Backstop Type

Other
Height of Backstop
Width of Backstop
Ammo Type
Type of Range
Range Photos Please provide:
1. Ground level digital photos of the range and its features
2. Map/sketch of the layout of the ranges at your facility
Upload a File
pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancelof
Range Access: Hours of Access for Range Maintenance
Lead Recovery History: Date of Last Lead Recovery
Previous Provider
Scrap amount paid for recycled lead
Annual pounds of recycled shells
Services Requested

Other
Would you be interested in MT2 performing an environmental review of your range Best Management Practices and providing a written report with recommendations?
Should be Empty:

Range Description: Range #1