EmailMe Form - WVCDL Membership Application

Membership Type *

Select Membership Type

Member Name *

First Middle Last

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 City State / Province / Region Postal / Zip Code

County *

In what County In WV do you reside? Use "NA" if not in WV.

Phone *

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

Email

T-Shirt Size Selection

Please select your desired t-shirt size. membership cost will vary between $25-$30 depending on T-Shirt Size.

T-Shirt Size Selection - please select proper size variation (youth, tall) *

please double check your selection.

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)