ISRPA Membership

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$7.50 per year is designated for a magazine subscription

Indiana State Rifle & Pistol Association
MEMBERSHIP APPLICATION New Renewal

MAIL TO:

ISRPA
PO BOX 24299
INDIANAPOLIS, IN
46224-0299

Name:

Street:

City: State: ZIP:

Phone: Email:

NRA Number:

	Annual $25.00
	3 Year $60.00
	5 Year $100.00
	Associate Non-Resident $15.00
	Junior (age 21 and younger) $10.00
	Senior Life (age 60+) $150.00
	Life Member (age 21-59) $375.00
	Bronze 1 Star $500.00
	Silver 2 Star $750.00
	Gold 3 Star $1000.00

ISRPA Pledge: I CERTIFY that I am a citizen of the United States: that I am not a member of any organization which has as any part of its program the attempt to overthrow the government of the United States by force or violence, that I have never been convicted of a crime of violence; and that, it admitted to membership, I will fulfill the obligations of good sportsmanship and of good citizenship.

Date: Signature:

I AM INTERESTED IN:

Teaching/coaching Competition Collecting Hunting Other

PISTOL HP RIFLE SB RIFLE AIR/ BB GUN SHOTGUN

International Conventional Silhouette Moving Target Police Combat Practical Bench Rest Muzzleloader

Recruiter: