NRA Insurance - Call Toll-Free 1-877-487-5407

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	Thursday, August 28, 2008

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Hunting Clubs Application

Hunt Clubs Quick Application for General Liability Insurance
Click here for Rifle Clubs Application

Club Name
Club Mailing Address
City
State
Zip code
Contact Person
Daytime phone number
Fax number
E-mail Address
Are you an NRA Club Affiliate?	Yes No
NRA Club Affiliation number
Current Number of Members

Does your club permit the use of tree stands?
(a premium surcharge will apply) Yes No

Location Schedule

Location 1 Address:

(street, city, county, state, zip, or legal description filed with the local courthouse)

Location 2 Address:

Location 3 Address:

Limits of Liability

	Effective Date
	Current Premium

General Liability Limits

	Current	Desired
	$250,000	$250,000
	$500,000	$500,000
	$1,000,000	$1,000,000
	$2,000,000	$2,000,000

This is an application for General Liability Insurance Coverage Only. Other types of insurance are available including liquor liability, property, crime and umbrella insurance. Contact our sales department toll-free at 1-877-487-5407 for more information.

Questions or Comments:

By submitting your application we can provide you with a competitive quote. You are under no obligation to participate in the program.