Leominster Sportsmen's Association, Inc.

Other Info

Vehicle Reg State

Vehicle Reg #

Last 4 of FID

Last 4 of LTC

Active Military Service Member?

Have You Ever Been Convicted Of A Crime?

If Yes, Please explain.

I hereby apply for membership in the Leominster Sportsmen's Association, Inc. and "I certify that I am a citizen of the United States or a legal resident of the United States possessing a so called 'Green Card (granted Permanent Resident Card that is current),' and that I am not a member of any organization or group, pledged to, or working towards the subversion or destruction of our system of government under the Constitution of the United States, or of the rights and liberties of United States citizens.

Leominster Sportsmen's Assoc.

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Personal Information

First Name

Middle

Last Name

D.O.B. MM-DD-YYYY

Phone

Address

City

State

Zip

Email

Password

Confirm Password

Interests

I am interested in participating and helping committees in the following areas:
(check all that apply)

Other Info

Vehicle Reg State

Vehicle Reg #

Last 4 of FID

Last 4 of LTC

Active Military Service Member?

Have You Ever Been Convicted Of A Crime?

If Yes, Please explain.

Leominster Sportsmen's Assoc.

Member Sign-Up{{memLbl}}

Personal Information

First Name

Middle

Last Name

D.O.B. MM-DD-YYYY

Phone

Address

City

State

Zip

Email

Password

Confirm Password

Interests

I am interested in participating and helping committees in the following areas: (check all that apply)

Other Info

Vehicle Reg State

Vehicle Reg #

Last 4 of FID

Last 4 of LTC

Active Military Service Member?

Have You Ever Been Convicted Of A Crime?

If Yes, Please explain.

I am interested in participating and helping committees in the following areas:
(check all that apply)