Type of Membership*SingleFamilyJunior (under age 19)Name* First Last Your Date of Birth Date Format: MM slash DD slash YYYY Required if under 19 Yrs old.Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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 MemberYesNoSpouseIf 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. CommentsThis field is for validation purposes and should be left unchanged. Download Waiver Form
