Print-and-Mail Membership Application
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Gun Owners of America
8001 Forbes Place, Suite 202
Springfield, Virginia 22151
Telephone: 703/321-8585
Join/Donate
__ 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 $25 entitles
me to full membership benefits.
____ $25 ____ $35 ____ $50 ____ $100 Other $____
Life Membership
__ I will become a Life Member. My down payment on the $1000 cost is:
(balance billed in $50 quarterly increments)
____ $50 ____ $100 ____ $150 ____ $200 ____ $250 ____ $500
Name: (Mr. Mrs. Ms. ) ______________________________________
Address: _____________________________________________________
City / State / Zip Code: ___________________________________________
Telephone Number: ___________________________________________
Email Address: ___________________________________________
To pay by check:
Please make check payable to Gun Owners of America or GOA
Your contribution to GOA is not deductible for income tax purposes.
Please allow up to 4 weeks for your new member packet to arrive.
To pay with a credit card:
Please charge my Visa / MC / AmEx / Disc
In the amount of $________
Card number __________________________________________
Exp. Date ______________________________CVC____________
__________________________________________
Signature (required on credit card purchases)