Directions:

1.) Print form, complete all fields and sign.

2.) Bring completed form & payment to next match Or Email Mark Liddi for US mailing information

Click here to download a fillable form.

CALIFORNIA POLICE PISTOL ASSOCIATION

MEMBERSHIP APPLICATION

Please, DO NOT ABBREVIATE.

NAME:
ADDRESS:
CITY:			STATE:			ZIP:
PHONE:	( ) -			( ) -
		HOME		WORK
E-MAIL ADDRESS
AGENCY: (DO NOT ABBREVIATE)
AGENCY ADDRESS:
CITY:			STATE:			ZIP:
COMPETITOR#					NRA#

New Renewal

Annual Membership, expires in December each year $ 30.00

Life Membership $300.00

Address change only

I certify and/or affirm that I am not now and never have been a member of any organization which has as any part of its program the attempt to overthrow the government of the United States by force or violence, that I have never been convicted of a crime of violence, that if I am admitted to membership in the California Police Pistol Association, I will fulfill the obligations of good sportsmanship and uphold the Constitution of the United States. I also affirm that I am eligible for membership in the California Police Pistol Association as defined by Article II of the California Police Pistol Association By-Laws (Membership) and/or Section 830 of the State of California Penal Code.

Signature: ______________________________________________ Date: __________

DO NOT SEND CASH Remit your application fees by check or money order. Please make checks payable to CPPA. Be sure to sign and bring payment your next match or mail directly to Mark Liddi. Contact Mark Liddi at HD38GOOCH@msn.com for mailing information or with any membership questions.

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