Membership Application to join the

Kentucky State Rifle & Pistol Association

I hereby wish to apply for membership in the KYSRP&A and pledge to help safeguard our 2nd Amendment to the U. S. Constitution, our hunting land and to build new ranges across America.

 

NAME______________________________________  

ADDRESS___________________________________  

CITY,STATE,ZIP_______________________________ 

NRA ID#_____________ PHONE__________________

Make Check Payable to:

KSR&PA
P.O. Box 357
Elizabethtown, Kentucky 42702-0357

KSRPA Membership  Dues 

Club.........................20.00

1 Year......................20.00

3 Years....................50.00

Junior........................5.00

Life.........................250.00

Endowment..........500.00

Patron....................750.00

Benefactor...........1000.00

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