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page · 2000-02 · idpa.com

IDPA Membership Application

The International Defensive Pistol Association 2232 CR 719 Berryville, AR. 72616 (870) 545-3886  Fax (870) 545-3894 NAME______________________________________________DATE ______________________________ please print ADDRESS _______________________________________________________________________________ CITY ___________________________________________ STATE __________ ZIP _____________ COUNTRY __________________________________ PH# __________ _________________________ FAX# _________ _________________________ E-MAIL ______________________________________ TYPE OF MEMBERSHIP YOU ARE APPLYING FOR: _

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