NVFAC Membership Application

Copy this form and mail to:

NEVADA FIREARMS COALITION

5575 Simmons Street, Suite 1-176

North Las Vegas, Nevada 89031

 

____ NV Annual Membership $25.00                      ____ Non Resident Annual Membership $25.00

____ Junior Annual Membership $10.00                 ____ Corporate Annual Membership $60.00

____ Club Annual Membership $30.00                    ____ Life Membership $500.00

First Name ___________________________________________

Last Name ___________________________________________

Name of Club or Corporation ______________________________

Email address ___________________________________________

User Name ___________________________________________

Password (will be available for registration on line when membership is registered)

Address ___________________________________________

City __________________________________________________

State________________________________

Zip Code ____________________

Telephone ____________________

Cell __________________________

Fax __________________________

NRA member # __________________________

NSSF member #__________________________

Note: NRA and/or NSSF membership is not required to join NVFAC

CHECK NUMBER: ______________________________ DATE:_____________________________-

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