Shooting Range/Firearms Retailer Membership Application

Please provide the following applicant information. (All information submitted will be kept strictly confidential.) (* denotes required fields)
* Business/ Organization Name
* Address:
Address2:
* City:
* State:
* Zip:
* Phone:
FAX:
Web Site:	http://
Individual designated for liaison between company and NSSF
* First Name:
* Last Name:
* Title:
* Email:
Secondary contact
First Name:
Last Name:
Title:
Email:
Please select your business' GROSS ANNUAL SALES:
I am in the business of selling shooting sports related equipment and products. (You will automatically be enrolled in the National Association of Firearm Retailers, a division of the National Shooting Sports Foundation, and will receive all NAFR and NSSF mailings, information and benefits that will help you run a more successful business.) My club or business has a shooting range. (You will automatically be enrolled in the National Association of Shooting Ranges, division of the National Shooting Sports Foundation, and receive all NASR and NSSF mailings, information and benefits that will help you run a safe and successful shooting range.)
YES! Please include the 2009-2010 Industry Reference Guide (CD-ROM) for the members-only price of $30.00!

First Shots Lower Providence Rod and Gun Club - NSSF's First Shots Program hits the mark for the Lower Providence Rod & Gun Club in Audubon, PA as it delivers a great experience for first time shooters and enthusiastic new members for the club.

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