NRA Membership Enrollment Certificate

ENCLOSED ARE MY MEMBERSHIP DUES OF:

1 Yr Membership $35.00		2 Year Membership $60.00

3 Year Membership $85.00	5 Year Membership $125.00

1 Yr Associate Membership   $10.00 (no magazine)
 
1 Year Junior Membership	$30.00 (InSights plus magazine choice)
 
Junior Life Membership	$550.00 (InSights plus magazine choice)
  
1 Year Junior Membership	$15.00 (InSights only)
 
Life Membership		$750.00
 
EPL Life Membership	$750.00 (30 payments of $25)
 
Distinguished Life Membership $375.00 (age 65+ or Disabled Veteran)
 
EPL Distinguished Life Membership $375.00 (age 65+ or Disabled Veteran) (15 payments of $25)
 
1 Year Distinguished Membership $30.00 (age 65+ or Disabled Veteran)
 
EPL Junior Life Membership $550.00 (InSights plus magazine choice) (22 payments of $25)
   
Date of birth: 	/    /
(Required for Junior and Distinguished membership applications.)
 
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. Method of Payment:

Visa 	Master Card 	Discover 	American Express

Card Number:				Exp. Date:    /

Name as it appears on card:

Signature:
 
As a Member of the NRA, I want to receive a subscription to: (choose one): 

First Freedom		American Rifleman   
American Hunter		Women's outlook  

PLEASE RETURN THIS ENROLLMENT CERTIFICATE TO:

JUNEAU RIFLE AND PISTOL CLUB
PO Box 32836
Juneau, AK 99803

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.