Membership Form
Please complete and submit this form to join or update your info with URRG. Information is confidential and will not be used beyond URRG official business.
Name
First and Last
URRG Member Number
If you are registering as a new member or if unknown please leave blank
NAR #
If you do not have one please leave blank
NAR Expiration Date (as shown on NAR card)
NAR Level
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TRA #
If you do not have one please leave blank
TRA Expiration Date (as shown on TRA card)
TRA Level
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Mailing Address
Street or PO
City/Town
State/Province abbreviation
Zip/Postal code
Cell Phone
Cell Phone
Work Phone
Email Address
Join URRG Email list?
The URRG Email list is used for club announcements such as upcoming launches, field conditions, picnics, etc.
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