EmailMeForm
WVCDL Membership Application
Please complete this form to join the WVCDL or renew your membership. upon form submission you will be redirected to PayPal to collect the $25 membership fee. Please allow 6-8 weeks for your membership packet and swag to arrive.
Membership Type
*
Please select
Adult
Youth (under 18 years old)
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.
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult 3X-Large
Adult 4X-Large
Adult 6X-Large
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
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)
Total
$25.00