Membership Renewal
Please choose the membership type *
Member Name *

First
Last
If registering a JUNIOR, please enter the minor's name here and the parents name below.
Membership Number *
Email *
Phone Number *

###		-
###		-
####
Would you like to receive
the Newsletter electronically? *
 yes 
 no - please mail hard copy 
Current Address (if your information has NOT changed, you do not need to complete the rest of this form)

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
PARENTS name if applying
for a JUNIOR member

First
Last
Are you a NRA Member?
 Yes 
 No 
Please select any that you would like to volunteer for
(to choose more than one hold CTRL key while selecting)