National Rifle Association of America
Membership Application
Please mail this form to the address indicated at the bottom of the page.
Send Premium - K&E 308647 NRA Recruiter: Prescott Sportsmen's Club
Recruiter ID: C1282
Member Information:
Date: ___/___/___    If renewal, NRA ID#: __ __ __ __ __ __ __ __

Name:_______________________________________________________________

Address:_____________________________________________________________

City:______________________________ State: _____ ZIP: ________

Birth date: ___/___/___ Daytime phone: (____) _______________

 Choice of Magazine:

___ American Hunter     ___ 1st Freedom     ___ American Rifleman
Choose level of membership: 
Regular:  ___1 year ($35)    ___3 years($85)             ___5 years ($125)

Junior (under 18):       ___1 year w/ Insights ($15) ___1 year w/ AH,  AG, or AR ($30)

Senior (65 and over):  There are no added benefits over Regular Membership so you should 
take the Regular Membership at the sale price.

Liberty (no magazine or voting): ___1 year ($10)     ___3 years ($30)       ___5 years ($50)

Life Membership:
  ___ Regular ($750)  ___ Junior ($550)  ___Senior ($375)  ___ Distinguished* ($375)
    *Distinguished Life Membership is available for Disabled Veterans of American Military Services. 

Easy Pay Life ($25 down payment followed by quarterly payments of $25 until the full amount is paid):
  ___Regular (29 payments)  ___Junior (21 payments) ___Senior/Distinguished (14 payments)
Payment Due: 
  Membership Dues                 $________

  Second Magazine ($15/year)      $________

  Foreign Postage (per year)
  Canada $5, Other $10            $________

  Other (Donation, payment, etc.) $________

  Total amount                    $________

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. Three dollars and seventy five cents of the membership dues are designated for magazine subscription."

Payment Information:
     ___ Check or Money Order (payable to National Rifle Association)

     ___ Charge to    ____ Mastercard  ___ Visa
                      ____ Discover    ___ American Express
     
     Account #:  __ __ __ __  __ __ __ __  __ __ __ __  __ __ __ __  Exp. __ __/__ __


     Signature (credit card only):_____________________________________
Mail application and payment to: National Rifle Association, Recruiter Program Department, 11250 Waples Mill Road, Fairfax VA 22030-7400