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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.