Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Birth Date* MM slash DD slash YYYY Occupation/Employer Are you a member of the National Rifle Association?* Yes No Shooting Interests (check all that apply) Pistol Rifle Shotgun Black Powder Other Preferred Shooting Activities (check all that apply) Personal Practice Shooting Classes Competition Cowboy Action USPSA Battle Rifle Silhouette Other I can do volunteer work hours in the following areas (check all that apply) Regular maintenance/clean up Major repairs/construction Organizing shooting competitions Organizing social activities Shooting instructions Other Certification and PledgeI hereby apply for Membership in the DELMARVA SPORTSMAN ASSOCIATION, INC. and offer the following pledge: I certify that I am a citizen of the United States of America and that I am not a member of any organization or group which has any part of its program to overthrow the government of the United States or any of its political subdivisions by force or violence; that I have never been convicted of a crime of violence, and if admitted to Membership, I will faithfully endeavor to fulfill the obligations of good sportsmanship and good citizenship.Affirmation* I agree with the above statement and verify that all provided information is accurate. reCAPTCHA
