Cross Timbers Action Shooting Association Membership Form 2017
Renewal or New Membership? *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Are you interested in Match Directing IDPA, USPSA, or Multigun matches? *
Required
Please confirm that you have read, understand and agree to the Waiver/Release Form located here: https://www.dropbox.com/home/CTASA/forms?preview=Waiver_and_Release.pdf *
Affilliations
IDPA Member Number
If you are NOT an IDPA member and would like to join please visit www.idpa.com
Your answer
Are you an IDPA SO?
USPSA Member Number
If you are NOT a USPSA member and would like to join please visit www.uspsa.org
Your answer
Are you a USPSA RO?
NRA Member *
TSRA Member *
Other Gun Rights Organization Member *
If Yes, what organizations
We are asking this to determine if CTASA should be affiliated with other organizations such as SAF and GOA in addition to NRA and TSRA
Your answer
JCSSA Range Member *
Payment method *
See new member prorated fees here: http://ctasa.club/membership/
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