PGOA
PO Box 116
Centerville, Pa  16404-0116

The PGOA is a statewide nonprofit organization. It is comprised of men & women from all walks of life, that put forth the efforts to preserve our Constitutional Right to Keep and Bear Arms through the education and motivation of Pennsylvania's Citizens. As insured by our Constitution, this inalienable right may not be infringed in any way, by any government, forever.

ORGANIZATION NAME: ___________________________________  DUES MIN. $35.00

MAILING ADDRESS #1: __________________________________

MAILING ADDRESS #2: __________________________________

List two contacts:

Name:  __________________________       Phone No.: ____________________

Name:  __________________________       Phone No.: ____________________

Number in your Organization:  _____ (min. 10)  

Type of Org.: ___________________________ 
Fraternal, Social, Volunteer Firemen, Sportsman's Club, Shooting Club, etc. 

Do you have a monthly newsletter? ____  
Do you have a project or law of specific interest?  _____

Group Associate Dues for Calender Year 2001: $ _____; Total Enclosed:$ _____
                                                      Check No. _____

NOTE: Group Associate Membership entitles the Group to 2 Newsletters per $25. it also entitles Rep. from the Group to speak, vote, nominate and make motions at PGOA meetings and to sit on any Committee. We hope Associated Groups will help fill any vacancies.