NRA MQP Sign Up

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NRA MQP Sign Up

100 Town Road | West Seneca NY 14224
Contact us at buffalorevnrifle@gmail.com

Today's Date *

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Full Name *

Email *

Contact Number *

Are you a member or guest *

Member

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What size t-shirt do you wear? *

XXL

Pistol or Revolver you will use to qualify. Please list the Make | Type | Model *

Signature *

By submitting your contact information you consent BR&R to communicate with you about our services, products, promotions and for our records. We do not share your personal information. Neither your name or any information will be sold or shared with any other company or agency unless directed by law.

I hereby certify that I am a citizen of the United States of America, that I am not a member of, or associated with any organization which has, as any part of its agenda, advocates the violent overthrow of the United States Government, and/or any political group by violence; that I have never been convicted of a felony, and/or crime of violence; and if admitted the club, I will faithfully endeavor to fulfill my obligation of good sportsmanship, stewardship, obey the range safety rules and comply with the by-laws and policies of the club.

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