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
|
| Life Membership
|
|
$250.00
|
|
Annual Club Affiliation
|
|
$25.00
|
| Senior Life Membership
|
|
$100.00
|
|
|
|
|
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 
