MCRGO

Mail completed membership application and check or money order payable to "MCRGO", to:

MCRGO Memberships
P.O. Box 14014
Lansing, MI 48901

New Membership!

Complete this form by typing in all applicable fields and clicking the print button.

General Membership:	Youth Membership:
1 Year: ($30)**	1 Year: ($15)
2 Year: ($55)	2 Year: ($25)
3 Year: ($80)	3 Year: ($35)
Lifetime: ($600)
Senior Life (62+): ($300)
Friends of MCRGO: ($15 annual)* *Does not include OnTarget magazine or voting right.
Date of Birth ##/##/####
** Type your Ted Nugent United Sportsmen of America membership number below and receive a 20% discount on your NEW MCRGO membership! Does not apply to renewals. 1 Year: $24 + TNUSA mbr #.

First Name:		Last Name:

Address:

City:		State:

Zip:		County:

Home Phone:		Email:

Who Referred you? (your union, employer, organization, other)

I do NOT want to receive a magazine.

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Michigan Coalition for Responsible Gun Owners