* required information Registration  New York State Rifle & Pistol Association Membership Registration Form Please check one:* New Member Renewal NYSRPA #: First Name:* Last Name:* Email: Address Line 1:* Address Line 2: Address Line 3: City:* County:* -- please make a selection --Outside New York StateBronxKingsNew York CityQueensRichmondAlbanyAlleganyBroomeCattaraugusCayugaChautauquaChemungChenangoClintonColumbiaCortlandDelawareDutchessErieEssexFranklinFultonGeneseeGreeneHamiltonHerkimerJeffersonLewisLivingstonMadisonMonroeMontgomeryNassauNiagaraOneidaOnondagaOntarioOrangeOrleansOswegoOtsegoPutnamRensselaerRocklandSt. LawrenceSaratogaSchenectadySchoharieSchuylerSenecaSteubenSuffolkSullivanTiogaTompkinsUlsterWarrenWashingtonWayneWestchesterWyomingYates State:* -- please make a selection --AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaF.S. MicronesiaFloridaGeorgiaGuam HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingNot in USA ZIP/Postal Code:* Phone:* Birth Date:* (mm/dd/yyyy) Gender: Female   Male   NRA Member:* Yes No NRA #: Membership Options Family Membership $45.00 Adult Member Ages 18 - 64 $25.00 Senior Citizen Ages 65 - Over $20.00 Active Military $20.00 Junior Member Under 18 $15.00 Life Member Under 65 $500.00 Life Member Ages 65 - Over $300.00 Endowment Endowment Membership $1,000.00 Patron Patron Membership $1,500.00 Benefactor Benefactor Membership $2,000.00 Discount If you have received a discount code, please enter it here: Additional Donation Amount: $