AMA Shop Membership RegistrationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Shop Name *Owner/Manager Name *FirstLastEmail *Website / URLPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAMA Shop Membership1-Year Shop Membership - $10.00Shop DetailsDo you have a range?IndoorOutdoorIs your range currently certified for tournaments?YesNoPlanning to certifyAre you interested in hosting AMA or NFAA-sanctioned tournaments? (Yes / No / Maybe)YesNoMaybeWhat brands or product lines do you carry? Additional questions Credit Do you offer any special services for customers?Promotional Participation (check all that apply)I want my shop featured on the AMA websiteI am interested in distribute flyers or share AMA events to potential customersI am interested in sponsoring AMA events.I am interested in donating products for give-aways at AMA events.Affiliation Interests (check all that apply)The shop owners/managers are interested in learning more about NFAA affiliationThe shop owners/managers are interested in participating in the NFAA Referral Program?Shop Logo Upload Click or drag a file to this area to upload. Shared logos will be featured on the AMA website and used as a link to your shopAdditional comments or questions Total$0.00Stripe Credit Card *Send
