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Step 1: Applicant Information

Please fill out the form below. Required information is in bold

First Name:
Middle Name:
Last Name:      Suffix:
Address:
Address 2:     (apartment, suite, department, etc.)
City:
State: (abbv.)
Zip:      Plus4:
County: (Leave Blank if you do not live in Georgia)

Phone:     (10 digit number only, no letters, spaces, dots, or dashes)

Email Address:

Comments:
    (Please take a moment to let us know how you found out about our organization and to describe your reasons for wanting to join us)

How Can You Help?
    (Describe any special skills or relationships that you have that may help us with our goals of weapons carrying law reform in Georgia)

By clicking Submit you hereby apply for membership in GEORGIACARRY.ORG, Inc. You certify that you support the Constitution and the Bill of Rights of the United States of America. You are not a member of any organization or group which has as any part of its program the attempt to overthrow the Government of the United States of America or any of its political subdivisions by force or violence.