New York State Rifle & Pistol Association
* 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:*
State:*
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
$2,000.00
Discount
If you have received a discount code, please enter it here:
Additional Donation
Amount:$