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Membership Printable Mail In Form

Join the National Muzzle Loading Rifle Association Today!

Sign me up! Send me the monthly membership magazine Muzzle Blasts, and full NMLRA membership credentials.

Name_________________________________________________________________________

Address_______________________________________________________________________

City____________________________________________________ State______ Zip_________

E-mail_________________________________________________________________________

Daytime Phone#________________________________________  Date of Birth:  _______________

For Family Membership:

Spouse:  _____________________________________________  Date of Birth:  _______________

Child #1:_____________________________________________ Date of Birth:  _______________

Child #2:_____________________________________________ Date of Birth:  _______________

Child #3:_____________________________________________ Date of Birth:  _______________

Child #4:_____________________________________________ Date of Birth:  _______________

ŸClick here to Print Mail-in Membership form
Payment Enclosed (check or money order)
1 Year $40.00
Ÿ 3 Year $115.00
Ÿ 5 Year $185.00
Ÿ  1 Year Family $53.00
Ÿ  1 Year Associate $14.50
Ÿ  3 Year Associate $39.00
Ÿ  5 Year Associate $65.00
Ÿ 1 Year Junior Subscriber $15.00
Ÿ  1 Year Foreign $50.00
Ÿ 3 Year Foreign $145.00
Ÿ 5 Year Foreign $235.00Ÿ
1 Year Family Foreign $63.00
1 Year Golden Guardian Regular – Foreign $150.00
1 Year Golden Guardian Regular $140.00Ÿ  
1 Year Golden Guardian Associate $114.50Ÿ
Endowment Life 1,000.00Ÿ
Patron Life $1,200.00
Benefactor Life $1,500.00
Associate Life $300.00Ÿ
Senior Life $500.00
 10 Year + Life $500.00

Charge to:  Visa    ◊ Master Card  Discover

Card#________________________________________________________

3 digit V-Code __________ Exp.____________________________________

Signature _________________________________________________________

Daytime Phone#________________________________________________

Mail to:

NMLRA Membership, Dept. WEB
PO Box 67, Friendship, IN 47021 

812-667-5131 • http://www.nmlra.org