EmailMe Form - WVCDL Membership Application

Membership Type *

Select Membership Type

Member Name *

First Middle Last

Youth Member Name *

First MI Last

Enter the name of the Youth member Above

Parent/Guardian/Sponsor Name *

First MI Last

Enter the name of the Adult sponsoring the membership above

Already a member? Enter your membership number here.
*If you can't find your membership number, we will find it for you.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

County *

Phone *

### - ### - ####

Email

T-Shirt Size Selection

Please select your desired t-shirt size and check the box if you need your t-shirt in a "tall" size.

Sizes 2XL and above will incur a $3 charge to cover increased cost of shirts and postage.

Do you require a "tall" size t-shirt? Tall sizes will incur a $2 charge to cover increased cost of shirt and postage.

I would like a "Tall" t-shirt (available for sizes Large and Up)

Would you like to add some discounted swag to your membership packet?

If so, please select from the below options.

Image

Select your swag

Lapel Pin $3

License Plate $13

Morale Patch $8

Extra Sticker $3

(1 sticker is included in membership packet)

Demographic Info

This information will not be shared.

Are you a member of any other 2nd Amendment Groups?

Yes

No

If so, which ones?

Are you registered to vote?

Yes

No

If so, what is your party affiliation?

Do you currently possess a valid West Virginia Concealed Handgun License?

Yes

No

Do you have any special skills you'd be willing to use to help the WVCDL? Let us know here.

(West Virginia Citizens Defense League (WVCDL) requires you to agree to the following statement in order to join or donate)

By checking this box, I hereby swear and affirm that I am not a member of any organization or group which has as any part of its program the attempt to overthrow the Government of the United States of America or any of its political subdivisions by force or violence. *

I agree with the above statement.

I would like to make a donation in addition to the $25 membership Fee:

$10

$25

$50

Other

Thank you for your support.

Notes or Special Requests?

Allow up to 1 minute for redirection to paypal. Allow 6-8 weeks for your membership packet to arrive. *

I understand the 6-8 week timeline (required)