Please print this page and use the U.S. Mail to return this membership application to JPFO. Our address can be found at the bottom of this form. You can also fax this form directly to us. If you wish, use our On-Line membership page for faster service!
___ Count me in! Here is my contribution to help preserve my right to keep
and bear arms and destroy gun control in America. I understand that membership
is open to all law abiding citizens, and a minimum donation of $25 ($35 outside
U.S.A.) entitles me to JPFO membership.
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__ Life Member $500 Includes Custom Life Member Lapel Pin and
special "Life Member" membership card.
(or $41.67 a month on charge card for 12 months or call the office to make other
payment arrangements)
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__ $250 __ $100 __ $50 __ $35 __ $25(minimum) _________ Other____ ($35 minimum
outside U.S.A.)
__ One Year New Membership __ One Year
Membership Renewal
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__ $250 __ $100 __ $75 __ $50 __ $40(minimum) _________ Other____ ($60 minimum
outside U.S.A.)
__ Two Year New Membership __ Two Year
Membership Renewal
Select Free Pin with Two
Year Membership: __ JPFO Pin or __ Bill of Rights Pin
Please make check payable to JPFO. Thank you.
Mr. / Mrs. / Miss / Ms. / no title (choose one)
____________________________________________________________________________
Name (please print)
____________________________________________________________________________
Address
____________________________________________________________________________
City / State / Zip
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Telephone Number
____________________________________________________________________________
FAX number
Please charge my __ VISA __MasterCard __ Am. Express in the amount of $________
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Card number
____________________________________________________________________________
Exp. Date
____________________________________________________________________________
Signature
____ I would like a FREE JPFO window decal with my membership
THIS MAY BE FAXED TO JPFO: (262) 673-9746
... OR, MAIL THIS ENROLLMENT CERTIFICATE WITH PAYMENT TO:
Jews for the Preservation
of Firearms Ownership
P.O. Box 270143
Hartford, WI, 53027
* Contributions, gifts or membership dues made or paid to JPFO are tax deductible to the fullest extent of the law.
PLEASE ALLOW 20 - 25 WORKING DAYS TO RECEIVE YOUR MEMBERSHIP.
FOR FASTER PROCESSING (10 - 15 WORKING DAYS),
USE OUR SECURE ON-LINE MEMBERSHIP FORM.