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						| [ ] New Member - [ ]
							 Renewal #__________________________  
							  
								| National Rifle Association of
								  America Membership Application
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								| 
  
									  
										| RECRUITER ID# C006801G |   
										| Mr/Mrs/Ms
										  ___________________________________________ |   
										| Street
										  _______________________________________________ |   
										| City/State/Zip
										  _________________________________________ |   
										| Birthday
										  ___/___/_____ Phone (_____) _____________________ |  
 |   
								| Check desired
								  membership 
  
									  
										| REGULAR
										  MEMBERSHIP [ ] 1 Year ..... $35
 [ ] 3 Year ..... $90
 [ ] 5 Year .....
										  $140
 | JUNIOR
										  MEMBERSHIP (Age 20 and under)
 [ ] 1 Year TAH or TAR ..... $30
 [ ] 1
										  Year InSights only ..... $15
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										| LIBERTY
										  "ASSOCIATE" [ ] 1 Year ..... $10
 | SENIOR
										  MEMBERSHIP (Age 65 and over)
 [ ] 1 year ..... $30
 |   
									  
										| LIFE
										  MEMBERSHIP [ ] Regular Life ...............
										  $750
 [ ] Senior Life (age 65 and over)
										  ............... $375
 [ ] Junior Life (age 20 and
										  under)** ............... $375*
 [ ] Associate Life
										  ............... $250
 
 EASY PAY LIFE PROGRAM*
 [ ] Regular Life EPL ........ $25 first of 30 Quarterly
										  Payments
 [ ] Senior Life EPL ........... $25 first
										  of 15 Quarterly Payments
 [ ] Junior Life EPL** .....
										  $25 first of 15 Quarterly Payments
 [ ] Associate
										  Life ............ $25 first of 10 Quarterly Payments
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										| *Junior Life
											 members must pay $375.00 initially, with a balance of $375.00 due by age 30 for
											 a total of $750.00
 Call 1-800-NRA-3888 for
											 more information.
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								| 
 Choose one magazine you wish
									 to receive as part of your membership.
 
  
									  
										| [ ] America's
										  First Freedom | [ ] American
										  Rifleman | [ ] American
										  Hunter |  
 |   
								| I am paying for the
								  following: 
  
									  
										| Membership Dues ..... | $
										  _____ |   
										| Second Magazine ($15 per year) ..... | $
										  _____ |   
										| Foreign Postage (per year) Canada $5, Other Countries $10 .....
 | $
										  _____
 |   
										| Other ..... | $
										  _____ |   
										| Total Amount Due | $
										  _____ |  [ ] Check or Money Order
									 Enclosed
  
									  
										| Charge
										  to: | [ ]
										  MasterCard | [ ]
										  Visa | [ ] Am
										  Express | [ ]
										  Discover |  Card expiration:
									 _____/_____
  
									  
										| __
 | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ | __ |  Card
									 Number 
 Note: Membership and its benefits
									 start the day of processing of dues payments at NRA headquarters. Three dollars
									 and seventy-five cents of the annual membership fee is designated for magazine
									 subscription. All membership fees and payments are non-refundable.
 Contributions and payments to the NRA are not refundable,
									 transferable or deductible as charitable deductions for federal income tax
									 purposes.
 
 ** Junior Life and Junior Life EPL
									 members may choose only one magazine (the America's First Freedom OR The
									 American Rifleman OR The American Hunter OR InSights) as
									 part of their membership. InSights magazine available only to Junior
									 members.
 |  | Set your font size to the smallest and
							 print out this form.The purpose and objectives of the
							 National Rifle Association of America are:  
							 To protect and defend the Constitution
								of the United States, especially with reference to the inalienable right of the
								individual American citizen guaranteed by such Constitution to acquire,
								possess, transport, carry, transfer ownership of, and enjoy the right to use
								arms, in order that the people may always be in a position to exercise their
								legitimate individual rights of self-preservation and defense of family,
								person, and property, as well as to serve effectively in the appropriate
								militia for the common defense of the Republic and the individual liberty of
								its citizens;
 
To promote public safety, law and
								order, and the national defense;
 
To train members of law enforcement
								agencies, the armed forces, the militia, and people of good repute in
								marksmanship and in the safe handling and efficient use of small
								arms;
 
To foster and promote the shooting
								sports, including and advancement of amateur competitions in marksmanship at
								local, state, regional, national, and international levels;
 
To promote hunter safety, and to
								promote and defend hunting as a shooting sport and as a viable and necessary
								method of fostering the propagation, growth, conservation, and wise use of our
								renewable wildlife resources. The Association may take all actions
							 necessary and proper in the furtherance of these purposes and objectives.
 
 Mail your check and this application to: NATIONAL RIFLE ASSOCIATION OF
							 AMERICARECRUITER PROGRAM
 11250 WAPLES MILL ROAD
 FAIRFAX, VA
							 22030
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