ALABAMA STATE MUZZLELOADING ASSOCIATION

MEMBERSHIP APPLICATION

I HEREBY REQUEST MEMBERSHIP IN THE ASMLA. I AM AN AMERICAN CITIZEN OF GOOD MORAL CHARACTER; I DO NOT BELONG TO ANY SUBVERSIVE GROUP, AND HAVE NEVER BEEN CONVICTED OF A FELONY. I WILL ABIDE BY ALL BY-LAWS AND RULES GOVERNING MEMBERS OF THE ASMLA.

THE MEMBERSHIP DUES ARE $10.00 PER YEAR

ANNUAL MEMBERSHIPS ARE DUE JANUARY 1ST EACH YEAR

USE YOUR BROWSER'S PRINT BUTTON TO PRINT THIS PAGE. PLEASE PRINT CLEARLY

APPLICANTS NAME___________________________________________

ADDRESS___________________________________________________

CITY___________________________________STATE______________

ZIP______________PHONE (______) ________________________

NEW______________RENEWAL__________________

NMLRA MEM. #____________________________

MAKE CHECK PAYABLE TO THE ASMLA AND MAIL TO:

SECRETARY - JIM PARKER
3445 SELF CREEK RD
WARRIOR, AL 35180

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