New Mexico Shooting Sports Association
Membership Application
 

Return to the Membership Secretary:

NMSSA - Membership
Ken Laintz
P.O. Box 753
Los Alamos, NM 87544

 

One Year Annual Membership		$25.00		Annual Junior Membership (Under age 19)		$5.00
Annual Club Affiliation		$25.00		One year Annual Senior Membership		$15.00

Member Type: ___________________ Amount Enclosed: ________________

Name__________________________________________ Date of Application ________________

(Business Name)  ________________________________________________________________

Address________________________________________________________________________

City ___________________________________________   State________   Zip  ______________

Home Phone_____________________WorkPhone_________________Fax__________________

E-mail _________________________________________________________________________


Would you like to receive your bi-monthly newsletter pdf (email)? yes____      no _____

Are you an NRA Member?___________

Do you belong to a shooting club? _____  Name of club: ___________________________________

Please make check payable to: NMSSA