CMP Membership Form

Interested in RELOADING!
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
Gender*

MaleFemale
Put a face to the name.
I would most likely be at one of these levels:*

Novice: new to or inexperiencedTransitional: involving and basic knowledgeIn the pipeline: has been loadingProficient: competent or skilled
Member of the following organization*

CMPNRAUSCCARiverside Gun ClubOtherNone
What other organizations:
Thinking about joining the group.

If I decide to join, membership in the local CMP chapter is required. Please see Steve for membership (only $10 per year). I understand that the information above will be used by the local CMP chapter for their database of reloader members.

Any questions have been answered by one of the following:

Steve Ulichney

Carl Lantz

Dale Hartwig

Established 2/2023 with CMP #24592
Signature*

Clear
THANK YOU
Should be Empty:

Interested in RELOADING!