Fellow Membership (General Member) Application 1.0 Fellow Membership "*" indicates required fields Section 1: Age & Status VerificationAge Verification:*Select your age range.I am 18 years of age or older.I am 17 years of age or younger.Federal law mandates that firearms training can only be provided to citizens or authorized permanent residents. If you are neither, we cannot accept your membership.Legal Status Verification:*Select your United States residency statusI am a US citizen or an authorized permanent resident.I am NOT a citizen or authorized permanent resident.Federal law mandates that firearms training can only be provided to citizens or authorized permanent residents. If you are neither, we cannot accept your membership.Section 2: Membership Type - Fellow (General Member)Annual Membership Dues: Price: Section 3: Applicant InformationFull Name:* First Last Username:*Mailing Address:* Street Address City State *AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Phone:*Section 4: Background SectionLevel of Shooting Experience:*Select from DropdownNone, but want to learn!I shoot a few times per yearI shoot regularlyI have participated in a match (ex. steel challenge, etc.)I am a Range Safety OfficerI am a Certified InstructorPlease select your highest level of experience.About Me:*Tell us about yourself (do not delete the questions though you may modify or add to them). This information will be displayed as part of your public profile. 1) What are your goals in becoming a member? 2) What hobbies do you enjoy? 3) What made you decide to join? 4) Any other interesting information (add as many lines as you desire) you would like to share? Do you want to share your Facebook profile? No Yes Facebook Profile Page:Add your personal FB info after the rightmost / Section 5: Agreement & ConsentConsent to Process & Collect Information:* I agree to the code of conduct provided in this form per the Firearm Fellowship's "Privacy Policy", and have read and accept the "Website Terms of Service".Agreement to Adhere to Code of Conduct:* I have read, understood and agree to the Firearm Fellowship's Code of Conduct.Section 6: PaymentTotal: Select Payment Portal:SelectPayPalStripePayment Method:*Select to pay using your PayPal account or by Credit Card. Your profile will be submitted after payment is approved. Please give us 24-hours to fully activate your profile.PayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Credit Card: Stripe will ask if you want to save your credit card information. Doing so is optional. We do not store credit card information.
