Missouri Sport Shooting Association Membership Application

And Memorabilia Order Form

(You'll need to print this page out, fill it in with real ink, attach an actual check for real money, and stick a real stamp on a real envelope. A hassle perhaps, but nobody wants shooters living in virtual realities, do they?)

Name:______________________________________________________

Address:___________________________________________________

___________________________________________________________

___________________________________________________________

Sponsor (Optional):________________________________________



_____ Renewal

_____ New Application


_____ Regular Annual Membership $15.00

_____ Junior (under 18) Annual Membership $5.00

_____ Life Membership $250.00

_____ Benefactor Membership $500

_____ Annual Club Affiliation $25.00


_____ Annual Sustaining (Donor) Membership $50-$99

_____ Silver Sustaining Membership $100-$499

_____ Golden Sustaining Membership $500+


_____ MSSA Decals 75c each, specify: _____ Inside or _____ Outside

_____ Plain-bill MSSA Shooters Cap at $6.50 each

_____ "Scrambled Eggs"-bill MSSA Cap at $7.50 each

_____ MSSA Lapel Pins at $2.50 each

_____ MSSA Logo Patch at $3.00 each

+$1.00 Postage (if ordering memorabilia)


_____ Donation: Legislative Issues Activism

_____ Donation, Other Purpose:____________________________



$________ Total (Remit payable to "MSSA")
Mail to: MSSA, P.O. Box 10170, Columbia, MO 65205.
Membership questions? Ask Harold!
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