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Please print and use the U.S. Mail to return this membership application to the National Rifle Association Membership
 Division. NRA's address can be found at the bottom of this form.
Click here for information on Endowment, Patron and Benefactor memberships.
C012501I
 NRA Membership Enrollment Certificate (Internet Version)
 _________________________________________________________________
  YES! COUNT ME IN AS A MEMBER OF THE NRA!
   
  ENCLOSED ARE MY MEMBERSHIP DUES OF:
 
  1 Year Adult $35  1 Year Associate Membership   $10.00
(no magazine)
 
  2 Year Adult $60    1 Year Junior Membership   $24.95
(InSights plus magazine choice)
 
    3 Year Adult $85  Junior Life Membership   $550.00
(with InSights magazine)
 
  5 Year Adult $125.    1 Year Junior Membership   $15.00
(InSights only)
 
  Life Membership $750     EPL Life Membership   $750.00
(30 payments of $25)
 
  Distinguished Life EPL Distinguished Life
Membership   $375.00 Membership   $375.00
(age 65+ or (age 65+ or Disabled Veteran)
 Disabled Veteran) (15 payments of $25)
 
  1 Year Distinguished EPL Junior Life Membership 
Membership   $30.00   $550.00
(age 65+ or (with InSights magazine)
Disabled Veteran) (22 payments of $25)
 
 
  Date of Birth / /  (optional)  
  (Required for Junior and Distinguished membership applications.)  
  Method of Payment:  
 
    Check Enclosed (payable to the National Rifle Association)  
 
  Discover     Credit Card      Visa       Master Card American Express
 
  Card Number:     Exp. Date:  /   
  Name as it appears on card:  
 
Foreign members will be subject to additional postage charges.
There will be an annual fee of $5 for Canada and $10 for all other countries.
 
  As a Member of the NRA, I want to receive a subscription to: (choose one)  
Please send:for my regular magazine subscription.
*Also send:   as an additional magazine subscription.
* - Receive a 1 year additional magazine subscription for $9.95.
$3.75 of the membership dues are designated for magazine subscription.
 
                             First Freedom     American Rifleman    American Hunter   womens outlook
 
Please send my NRA Membership benefits right away!
Title:
First Name: 
Middle:
Last Name:
Suffix:
Address:
 
 
City:
State/Province:
Zip/Postal Code:
Country:
Phone Number:  US/Canadian Only
E-mail Address:
Non-US and Non-Canadian applicants, please disregard State and Zip fields.
 
 
 
C012501I
PLEASE RETURN THIS ENROLLMENT CERTIFICATE TO:
 Print this form,
please use the U.S. Mail to return this membership application to the National Rifle Association Membership Division.
 
NRA HEADQUARTERS
ATTN. RECRUITING PROGRAMS DEPT
11250 Waples Mill Rd.
Fairfax, VA 22030 
 
OR, CHARGE YOUR DUES BY CALLING 1-800-NRA-3888.
 
* 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.