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)