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Please PRINT OUT This Application Form, Fill It Out, and Mail It To The Address Below NRA MEMBERSHIP APPLICATION Application Type: ___Annual Member @ $25 ___Liberty Member @ $10 ___Junior Member @ $15 (Under Age 21, Includes "Insights" Magazine) NAME: ___________________________________ If Renewal, Give NRA ID #: __________ MAILING ADDRESS: _____________________________________________ APT #: ______ CITY: ___________________________________________ STATE: _______ ZIP: _________ BIRTHDATE: ______________ WORK TEL: ______________ HOME TEL: ______________ If You're Applying For Annual Membership, Choose One Magazine: ___American Rifleman ___First Freedom ___American Hunter NOTE: Liberty Membership Does Not Include A Magazine Payment Method: ___Check or Money Order Enclosed ___Credit Card NOTE: Check or Money Order Should Be Made Payable To: "NRA" If Paying By Credit Card, Please Provide The Following Information: NAME ON CREDIT CARD: _______________________________ TYPE OF CARD: ______ ACCOUNT #: ___________________________________________ EXP DATE: __________ SIGNATURE: ________________________________________________________________ Please Mail This Completed Application Along With The Appropriate Payment To: Jeff Weinstein, NRA Recruiter PO Box 373 Yarmouth ME 04096 Please Allow Approximately Four Weeks For Processing Thanks! © 2001-2003 Media Guys Inc |