Missouri Sport Shooting Association Membership & Affiliation Application

MSSA is not equipped to accept applications or payments online. Please print out this form and mail it with payment to:
MO Sport Shooting Ass'n.
PO Box 10170
Columbia MO 65205
MSSA reserves the right to refuse any business we feel is contrary to the interests, purposes and objectives of our Association and its Members. For information about your MSSA Membership or Affiliation status, please contact MSSA Secretary Harold Miederhoff. For advertising rates or other information about The Missouri Shooter, contact Managing Editor Mitch Peters; for information on listing your business on the MSSA Business Partners Website, contact MSSA Webmaster Steve McGhee.

Name:        ___________________________________________________
Address:    ___________________________________________________ ____________________________________________________________ ____________________________________________________________
Email:        ___________________________________________________
WWWebsite:    ________________________________________________
Sponsor (Optional):    ___________________________________________

_____ New Application            _____ Renewal 

REGULAR ANNUAL MEMBERSHIPS / AFFILIATIONS
_____ Adult Membership $15.00 
_____ Junior (under 18) Membership $5.00 
_____ Annual Club / Organization Affiliation $25.00

DONOR ANNUAL MEMBERSHIPS
_____ Sustaining Membership $50-$99
_____ Silver Sustaining Membership $100-$499
_____ Golden Sustaining Membership $500+

LIFE MEMBERSHIPS
_____ Regular Life Membership $250.00
_____ Benefactor Life Membership $500.00

DONATIONS TO MSSA AND ITS PROGRAMS
$____ Donation for MSSA Juniors Program
$____ Donation for any use by MSSA
$____ Donation for a specific purpose: ___________________________________

Mail with payment (checks only please) to: MSSA, P.O. Box 10170, Columbia, MO 65205.


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