American SlugShooting Association


				*American SlugShooting Association* *Membership Application*



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We have Provided This On-Line Version of the Membership Application to Expedite Your Registration Directly To Our Registrar.

Just Fill In The Blanks, and Click Submit.

Date:
Name:
Company/Organization (Optional)
Title - CEO, Pres., Worker Bee, Fry Cook, Etc. (Optional)
Address:
City, State, Zip Code:
Date Of Birth
Telephone:
FAX:
Membership Type:
Chat Room UserName/Nickname - First Choice
Chat Room UserName/Nickname - Second Choice
Chat Room Password
Email for Verification - MUST Enter an Email Address for Forum Access
Member Forum UserName/Nickname - First Choice
Member Forum UserName/Nickname - Second Choice
Member Forum Password
Competitor: Slug Gun Brand/Model/Gauge
Competitor: Optics/Metallic Sight Type/Brand/Model
Competitor: Ammunition Brand/Type/Gauge
Active Military - Enter Current Duty Station, MOS, Rank
Armed Forces Veterans - Enter DEROS and Last MOS/Rank
Law Enforcement - FireFighter - EMS - Name of Agency Served - Current Rank/Title
LEO/FireFighter/EMS Retired - Enter Last Rank/Agency/Duty Station
New/Renewal NRA members - ASSA Link Only - Enter NRA Membership #

Applications are not complete until dues payment is received. Please use one of the PayPal Links, or contact us for alternative payment methods of payment.

Cash, business or personal checks, good gun dogs or cases of ammunition cheerfully accepted.

General Members

Click Above For

Annual Dues Payment

Competition Members

Click Above for

Target Purchase

Click Here To Contact Us Immediately:10ring@SlugShooting.com

Click Here To Use Our INSTANT Online Membership Application Form

* American Slug Shooting Association *

* PO Box 321 * White Marsh, Maryland * USA * 21162 *

Copyright 2005 By ASSA. All Content, Concepts, and Procedures Displayed or Otherwise Accessible On this Website are the Sole and Exclusive Property of ASSA and its Administrative Partners and Protected Under Copyright Laws of the United States of America. Reproduction of Any Content in Any Form is Prohibited Without Prior Written Permission of the Authors

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