Membership Application

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Membership Type *— Select Choice —RegularJunior (Under 18)Asociate (18-26)

Junior and Associate members must reside with a regular member.

Applicant Information

A valid mailing address is required for membership.

Name *

First

Last

am Birth Interested

Date of Birth (mm/dd/yyyy) *

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Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Email *

Phone *

Occupation?

I am Interested in:

• Rifle
• Handgun
• Shotgun
• Archery
• Competitions
• Benchrest
• Cowboy Action
• Long Range
• Machine Gun
• Pistol Challenge Course
• Multigun/3-Gun
• USPSA, IDPA, Steel Challenge etc.
• PRS
• Other

Other *

Do you wish to volenteer for MGAC? *

• Yes
• No

Agreement *

• I agree to the terms below.

I understand that if my application is accepted, I will be expected to participate regularly and pay annual dues.

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