***Are you renewing your Uspsa Membership? Click here to skip directly to that section.***
You may use this form to join USPSA on-line and become eligible for all benefits of USPSA membership. Once you have submitted your application, you can expect to receive your member packet, via postal mail, in about a week. In your member packet you will receive a PIN and member number that will allow access to the "Person Profile" area of this web site.

Your credit card will be processed using state of the art secure communications technology that will encrypted the credit card number during transmission to our web server. If you prefer, we also accept new memberships via phone, fax or postal mail. '

If you have any questions about your membership application, you may email our membership coordinator, or phone/fax.

Your birthday is optional. We ask for your birthday so that we may place you into the appropriate category (Junior, Regular or Senior) and automatically update this information each year based on your age. Our classification database and match results will indicate if you are categorized as a "Junior" or "Senior" competitor, however, your birth date will not be publicly released.

• Scores membership and club information on the website is updated once a month, on or about the 15th.
• Foreign members may participate in the USPSA Classification System, but are not eligible to vote in USPSA elections

Member Information: Member's First Name: Member's Middle Initial: Member's Last Name: Jr., Sr., etc. Sex: Male Female Date of Birth: (optional) / / MM/DD/YYYY		Mailing Address:   Address: City: State/Province: Foreign APO AA APO AE APO AP Alberta, Canada British Columbia, Canada Manitoba, Canada New Brunswick, Canada Newfoundland & Labrador, Canada Northwest Territories, Canada Nova Scotia, Canada Nunavid, Canada Ontario, Canada Prince Edward Island, Canada Quebec, Canada Saskatchewan, Canada Yukon, Canada Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Zip/Postal Code: Country: Phone: Email:
Select Membership Type: (Membership Renewal Form Begins Below Here) Association Term Regular Member Associate Member US Foreign US Foreign USPSA Annual $40 $50 $25 $35 Dual (USPSA/SCSA) Annual $60 $70 $40 $55 USPSA 3 Year $105 $135 $75 $105 Dual (USPSA/SCSA) 3 Year $160 $205 $115 $160 USPSA 5 Year $175 $225 $125 $185 Dual (USPSA/SCSA) 5 Year $265 $340 $190 $280 USPSA Life $500 $600 N/A N/A Dual (USPSA/SCSA) Life $750 $900 N/A N/A Senior Life membership application must be faxed or sent US Mail with proof of age USPSA Senior Life $350 $450 N/A N/A Dual (USPSA/SCSA) Senior Life $600 $750 N/A N/A USPSA Life members may add a Steel Challenge Life Membership for $250 ($300 for foreign members). This must be done by mail, phone or fax. Dual Upgrade Life $250 $300 N/A N/A *Associate members are entitled to all benefits of USPSA membership, but do not receive a copy of Front Sight magazine. Member Status: New MemberRenew membership Check Renew membership if you have ever been a USPSA member and enter your former USPSA number if you have it available. USPSA Number: *Renewals only    Comments:       If you were referred to USPSA by an existing USPSA Member, please include the information below: Referring USPSA Member Number: (if known, otherwise leave this blank) Referring Member First Name:         Referring Member Last Name:         USPSA would like to thank these sponsors for their generous donation of raffle items for our membership drive! A drawing is held each quarter. Each new member referred is a chance to win. Payment Information Credit Card Holder First Name: Credit Card Holder Last Name: (Cardholder name may be left blank if the same as member name) Credit Card #:         Credit Verification Code:         CC Expiration: /MM/YY         Visa, Master Card and Discover Accepted * Associate members are entitled to all benefits of USPSA membership, but do not receive a copy of Front Sight magazine.