MINNESOTA RIFLE & REVOLVER ASSOCIATION by tjP2ikl

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									         MINNESOTA RIFLE & REVOLVER ASSOCIATION
                             Membership Application For Clubs
           Please complete application fully. Incomplete applications will be returned.

[ ] New Application            [ ] Renewal                      [ ] Update/Change of Information

Club Name: ____________________________________________ Juniors Only Club? Y / N
Property Address: _______________________________________________________
 _____________________________________________________________________
NRA Affiliation #:_________________________ CMP #: ______________________


Contact Person*: _________________________________________________________
Telephone: ________________________            E-mail: ____________________________
Mailing Address: _______________________________________________________
 _____________________________________________________________________

Club Officers*:
President ________________________                      VP ____________________________

Secretary ________________________                      Treasurer ________________________

MEMBERSHIP FEES:
[ ] 1 Year $25.00       [ ] 5 Years $100.00                     [ ] Permanent Membership $500.00
[ ] Juniors Only Club 3 Years No Fee


MRRA Adult Member Clubs in good standing may vote in MRRA elections. The person
authorized to vote, on behalf of the club, is ____________________________________*.


* The club agrees to notify the MRRA with updated information, on an annual basis. Without
this information, the MRRA can not verify who is the Club’s designated representative.

Club Officer Signature: ______________________________ Date: ____________

Title: _________________

Return the completed form and dues to:
                     MRRA Membership Secretary
                     Mark Rohmann
                     4737 Hwy 101 #114
                     Minnetonka, MN 55345

                 This form available at www.mrra.org                    Rev May 2009
                           MRRA reserves the right to reject any application.

								
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