National Rifle Association of America                                  Recruiter ID: XR016818

Membership Application

Date:____________________                          New Member       Renewal

                                                                             NRA ID# (renewals only)  _________________

 

 For gift memberships, fill in the recipient's information with your billing and payment information.

Membership Address   Billing Address (if different)

Name: Mr./Mrs./Ms______________________

Street: _______________________________

City: ________________________________    State:__________ ZIP:__________________

Day Phone: (____) _____________________ Birth Date: ___________________________

 

Name: Mr./Mrs./Ms______________________

Street: _______________________________

City: ________________________________ State:__________ ZIP:__________________

Day Phone: (____) _____________________ Birth Date: ___________________________

 

Magazine Selection (Junior members also receive Insights Magazine)

 America's 1st Freedom      American Rifleman      American Hunter 

 Membership Type

 1 Year ........................................... $35  $25

 2 Year ........................................... $60  $50

 3 Year ........................................... $85  $75
5 Year ........................................... $125

 Junior (18 years and under)................. $15

 Liberty (no magazine)........................ $10

 Reg. Life......................................... $750

 Junior Life....................................... $550

 Distinguished Life (age 65+)............... $375

 Reg. Easy Pay* Life........................ $25

 Junior Easy Pay* Life...................... $25

 Distinguished Easy Pay* Life........... $25

 

 Additional Magazine........................ $15ea

 Foreign Postage – Canada ............. $5

 Foreign Postage – Other ................ $10

 Donation......................................... $____

 

TOTAL............................................... $____

Payment Information

 Cash

 Check or Money Order #________

 

 AMEX

 VISA

 MASTERCARD

 DISCOVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exp.  ___/___  (Month/Year)

 

Signature: __________________________

 

* Easy Pay Life is $25 minimum down payment then $25 quarterly payments until full membership is paid.

 

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. $3.75 of membership dues are designated for magazine subscription.

 

Make checks payable and mail to:    National Rifle Association

Recruiter Program Department

11259 Waples Mill Road

Fairfax, VA 22030 - 7400