member app

NEVADA POLICE PISTOL ASSOCIATION

MEMBERSHIP APPLICATION

Please, DO NOT ABBREVIATE.

NAME:

ADDRESS:

CITY, STATE, ZIP:

PHONE (H):

(w):

E-MAIL ADDRESS: (HOME):

(WORK):

AGENCY:

(DO NOT ABBREVIATE)

AGENCY ADDRESS:

CITY, STATE, ZIP:

NRA#:

NPPA#:

I certify and / or affirm that I am not and never have been a member of any organization

which has as part of its program to attempt to overthrow the government of the United

States by force or violence, that I have never been convicted of a crime of violence, that

if I am admitted to membership in the Nevada Police Pistol Association, I will fulfill the

obligations of good sportmanship and uphold the Constitution of the United States. I also

affirm that I am eligible for membership in the Nevada Police Pistol Association By-Laws

(membership) and NRS 289.150

Signature:

Date:

DO NOT SEND CASH Remit your application fees by check or money order. Please make

checks payable to NPPA. Be sure to sign and bring payment to your next match or mail to

NPPA, P.O. Box 750580, Las Vegas, NV 89136-0580. Contact John Nagazyna with any

Membership Question