| New Hampshire Firearms Coalition, Inc. PO Box 7182 Milford, NH 03055-7182 |
| Please circle one: |
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Annual Membership: $20.00
Annual Family Membership: $30.00
Here is my extra donation to help NHFC, Inc. defend my rights: |
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Name:
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Address:
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City, State Zip:
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Phone:
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E-mail
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| I certify that I am not a member of any
organization
which has, as any part of its program, the change of the government of
the
United States by unlawful or unconstitutional means; that, if admitted
to
membership, I will fulfill the obligations of good citizenship and
support
and further the purposes of the corporation. I further certify that I
have
never been convicted of a crime of violence that has not been annulled. |
| (signature) |
| New Hampshire Firearms Coalition, Inc. PO Box 7182 Milford, NH 03055-7182 |