I hereby request membership in the National Muzzle Loading Rifle Association. I understand that $40.00 is the annual membership fee, which includes all rights of the Association and receipt of the monthly membership publication Muzzle Blasts. As a new member bonus, I will receive a free copy of the Muzzleloading Manual (while supply lasts).
Name:
Address:
City: State Zip Code:
Country: Daytime Phone:
q New Member
q Renewal NMLRA Membership#
q 1 Year
$40 (foreign $50)
q 1 Year
Associate $14.50
q 3 Year
$115 (foreign $145) q 3 Year Associate
$39
q 5 Year
$185 (foreign $235) q 5 Year Associate $65
q 1 Year
FAMILY $53 (foreign $63) please list each family members name
(children
under age 18) and date of birth, use separate piece of paper if needed.
q 1 Year Junior $15 D.O.B required for junior
membership
q 1 Year Golden Guardian Regular
$140 (foreign $150)
q
1 Year Golden Guardian Associate $114.50
q Endowment Life $1,000
q
Patron Life
$1,200
q
Benefactor Life $1,500
q
Associate Life $300
Method of Payment
q
Check or Money Order
q Visa
q Master Card
q Discover
Card Number:
Exp. Date:
___V Code (3 digit
number)___________
Name as it appears on card:
Please print this form & return it, along with your check or money order
to:
NMLRA, P.O. Box 67, Friendship, IN, 47021
or charge your dues by phone:
(800) 745-1493 Ext. 224 or (812) 667-5131 Ext. 224