Iowa State Trapshooting Association

MEMBERSHIP APPLICATION

Annual 20______ $10.00                ATA #_________________

1st Year Members FREE

Life ---------------- $100.00           ZONE NW NE SW SE   (circle one)

PUT PLASTIC CARD IMPRINTS ON BACK OF THIS APPLICATION ____ NEW ____ RENEWAL

NAME ______________________________________________
First Middle Last

ADDRESS ___________________________________________

CITY __________________________ ZIP CODE ___________

Gun Clubs Mail This Card With Your Shoot Report

- Dues Not Tax Deductable -