__ Count me in! Here is my contribution to help preserve my right to keep and bear arms and to join Gun Owners of America. I understand that a minimum donation of $20 entitles me to full membership benefits.

__ $20   __ $35   __ $50   __ $100   __ $250   __ Other $____

__ I'll become a Life Member. My downpayment on the $500 cost (balance billed in $50 quarterly increments) is:

__ $50   __ $100   __ $150   __ $200   __ $250   __ $500

Please make check payable to GOA, Inc. Thank you. Your contribution to GOA is not deductible for income tax purposes.

__ Please send my first copy of GOA's newsletter, The Gun Owners, by return mail.

Mr. Mrs.
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Name (please print)
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Address
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City / State / Zip
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Telephone Number
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FAX number (supply only if you are not on the Fax Alert Network and wish to be added)
__________________________________________________________________________________________
E-mail address (supply only if you are not on the E-Mail Alert Network and wish to be added)

Please charge my   __Visa   __MC   __AmEx   __Disc   in the amount of $________
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Card number
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Exp. Date
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Signature (required on credit card purchases)