DATE:__________________ NEW:___ RENEWAL: ___ NOTE: PPFC Membership runs for a calendar year, prorated semiannually: (Members joining in December will pay for next year only.)
TYPE Date joining Dec-Jun Jul-Nov Individual $20 $10 Family $30 $15 Patron* $500 $250 *Patron members will receive a plaque and recognition in newsletter
when they pay for a full year.Please indicate the membership type and amount submitted: ___ Individual $______ ___ Family $_______ ___ Patron $_______ ADDITIONAL CONTRIBUTION(S): Help with Newsletter Expense $_________ Billboard Fund $_________ VFW Hall Rental $________ ($30 per month) For General Expenses $___________ NAME:______________________________________________________________ (First) (Middle or Initial) (Last) E-MAIL ADDRESS:______________________________________ STREET (or P. O. Box):_____________________________________________ CITY:____________________________ STATE:_____ ZIP:_______________ HOME PHONE: (____)______________ WORK PHONE: (____)______________ FAX PHONE: (____)________________ NOTE: The Pikes Peak Firearms Coalition seeks to influence legislation and, as such, dues and contributions are not tax deductible as a charitable contribution under IRS rules. Mail application to: Pikes Peak Firearms Coalition PO Box 17253 Colorado Springs, CO 80935-7253
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