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U. S. RESIDENTS IHMSA MEMBERSHIP
APPLICATION
PLEASE PRINT CLEARLY
Last Name ____________________________________________
First Name ____________________________________________
Address ______________________________________________
E-Mail Address ________________________________________
City ______________________________ State _________ Zip Code _______________
Date of Birth ______/________/___________ (Required for Child)
Please fill out the appropriate lines below:
Are you a member of the National Rifle Association (circle one) YES NO
Are you applying for IHMSA new membership (circle one) YES NO
Is this a renewal, If so what is your IHMSA # __________________________
Please make check out to:
HQ IHMSA
Lorene
Thompson
P.O. Box 901120
Sandy, UT 84090-1120
Click here for printable version of form
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