National Rifle Association of America
Larry Marino- NRA Recruiter #R013162E
Please print and return this membership application by U.S Mail, to the National Rifle Association
Membership Division. The NRA's address can be found at the bottom of this form.
NRA Membership Enrollment Certificate (Internet Version)
_________________________________________________________________
Yes! Count me in as a member of the National Rifle Association.
Enclosed are my membership dues of:
 
___ 1 Year Adult membership $35  ___ 1 Year Regular Junior $30 (age 20 & under)
___ 1 Year Associate $10 (no magazine) ___ 1 Year Junior $15 (Insights magazine only)
___ 2 Year Adult membership $60 ___ 1 Year Distinguished $30 (age 65+ or disabled vet)
___ 3 Year Adult $85 ___ Regular Life Membership $750
___ 5 Year Adult $125. ___ Sr. Life Membership $750 (age 65+ or disabled vet)
Date of Birth ____/____/____ (optional)
Method of Payment:
____ Check Enclosed (payable to the National Rifle Association)
____ Credit Card     ____ Visa          ____ Master Card
____ Discover                           ____ American Express
Card Number: ________________________________ Exp. Date ____/____
Member signature (credit card only)________________________________
As a Member of the NRA, I want to receive a subscription to: (choose one)
____ American Rifleman ____ American Hunter  ____ American Guardian
Please send my NRA Membership benefits right away!
Name ________________________________________________
Address __________________________________________________
City _______________________ State _______ Zip ______
Larry Marino:  NRA Recruiter #R013162E
I do not accept any fees or benefits from the NRA based upon your application.
In fact it is you who will receive the benefit of increased educational and legislative
efforts, thanks to your support. And thank you for your help in maintaining the
God given right of every law abiding citizen in this country
To Keep and Bear Arms...
 
PLEASE RETURN THIS ENROLLMENT CERTIFICATE TO:
NRA PROCESSING CENTER
P. O. BOX 420649
PALM COAST, FL 32142-0649
* Contributions, gifts or membership dues made or paid to the National Rifle Association of America are not
refundable or transferable and are not deductible as charitable contributions for federal income tax purposes.
 
 
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