Missouri State Skeet Association

MSSA 2006 DUES NOTICE

Skip the form and pay on-line - See Below

 

NSSA Number

 

                       
 

Name

 

                       
 

Address

 

                       
 

City, State, Zip

 

                       
 

Date of Birth

 

                       
 

Email Address
___May we add you to our email notice group?

                       
 

Work Phone

 

                       
 

Home Phone

 

                       

 

DUES

______ Annual: $8 if paid directly to MSSA Secretary ($12 if wait to pay directly to club).

    Pay $8 Annual Dues online using Paypal; print a confirmation immediately and don't wait for a sticker:

______ Lifetime: $100 (Funds are placed in a certificate of deposit and only the interest is used each year.

    Pay $100 lifetime dues online using Paypal:

OR - Mail this form and your dues to:

Missouri State Skeet Association
203 Northview Rd
Nixa, MO 65714-8677

Questions? Ask Bill Spurlock, bill@billsquickmart.com or call 417-725-1630.