NATIONAL RIFLE ASSOCIATION of AMERICA

MEMBERSHIP APPLICATION
Date:___/___/______
Type of Membership: ___NEW -or- ___RENEWAL (Member # ____________________)
Name: Mr./Mrs./Ms. ________________________________________________________
Address: __________________________________________________________________
City: ___________________________ State: _____ Zip: _______ Country: ___________
Phone: (___)__________ E-mail: __________________________ Birthdate: ___/___/___
Choose your magazine:
__American Hunter

__American Rifleman
__Print -or- __Digital

__Americas 1st Freedom

__Print -or- __Digital

__Print -or- __Digital
**A valid e-mail address is required for digital magazines.**

Additional Subscriptions: (Optional)

You can opt for an additional magazine subscription for an extra fee. Print edition is $9.95 and Digital Edition is $4.95

__American Rifleman
__Print -or- __Digital

__American Hunter
__Print -or- __Digital

__Americas 1st Freedom

__Print -or- __Digital

Payment Information:
__Cash __Check#_____ Credit/Debit: __American Express __Visa __Master Card __Discover
Card Number ______________________________________________ Expires ___/___

Member Signature (Credit Card Only)

_____________________________________________________

Mail To:
Recruiting Programs Dept. - NATIONAL RIFLE ASSOCIATION - 11250 Waples Mill RD. - Fairfax, VA 22030

NRA Recruiter ID # XP028342

Membership Term:
__1 yr. ($35) SPECIAL OFFER ONLY $25
__2 yr. ($60)
__3 yr. ($85)
__5 yr. ($125)
__Junior (18 & under) ($15)
__Associate (No Magazine) ($10)
__Regular Lifetime ($1,000)
__Distinguished Lifetime ($375)
__Junior Life ($550)
__Easy Pay Life ($25 now & 39
payments of $25)

__Easy Pay Junior Life ($25 now

& 21 payments of $25)

__Easy Pay Distinguished ($25

now & 14 payments of $25)
Foreign Postage:
Canadian add $5 per year
Other Countries add $10 per year

Total Due:
$_______ Membership Dues
$_______ Additional Magazine
$_______ Foreign Postage
$_______ Total Paid Today