Please print this page and use the U.S. Mail to return this membership application to JPFO. Our address can be found at the bottom of this form. You can also fax this form directly to us. If you wish, use our On-Line membership page for faster service!

___ Count me in! Here is my contribution to help preserve my right to keep and bear arms and destroy gun control in America. I understand that membership is open to all law abiding citizens, and a minimum donation of $20 ($30 outside U.S.A.) entitles me to JPFO membership.
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__ Life Member $500 Includes Custom Life Member Lapel Pin and special "Life Member" membership card.
(or $41.67 a month on charge card for 12 months or call the office to make other payment arrangements)
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__ $250 __ $100 __ $50 __ $35 __ $20(minimum) _________ Other____ ($30 minimum outside U.S.A.)
__ One Year New Membership     __ One Year Membership Renewal
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__ $250 __ $100 __ $75 __ $50 __ $40(minimum) _________ Other____ ($60 minimum outside U.S.A.)
__ Two Year New Membership     __ Two Year Membership Renewal
       Select Free Pin with Two Year Membership: __ JPFO Pin or __ Bill of Rights Pin

Please make check payable to JPFO. Thank you.

Mr. Mrs.
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Name (please print)
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Address
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City / State / Zip
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Telephone Number
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FAX number

Please charge my __ VISA __MasterCard __ Am. Express in the amount of $________
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Card number
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Exp. Date
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Signature                                       (code=u)

THIS MAY BE FAXED TO JPFO: (262) 673-9746
... OR, MAIL THIS ENROLLMENT CERTIFICATE WITH PAYMENT TO:

         Jews for the Preservation of Firearms Ownership
         P.O. Box 270143
         Hartford, WI, 53027

* Contributions, gifts or membership dues made or paid to JPFO are tax deductible to the fullest extent of the law.