Type of Membership* Single Family Junior (under age 19) Name* First Last Your Date of Birth MM slash DD slash YYYY Required if under 19 Yrs old.Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* We will follow-up with you about completing your membership by this email address.Phone*NRA Member Yes No SpouseIf applying for Family Membership, please add the name of your spouse.Additional Family MembersNameDate of Birth If applying for Family Membership, please list names of your children.Waiver Acknowledgement* I have printed/downloaded the waiver (link below) and understand that I need to submit it with my membership information to finalize. EmailThis field is for validation purposes and should be left unchanged. Download Waiver Form
