CITIZENS INJUNCTION FORM

A project of Citizens Committee for the Right to Keep and Bear Arms

In the matter of
The Anti-Gunners Campaign
To Destroy Self-Defense Laws Nationwide
To: Members of Congress

The undersigned citizen of the United States of America demands you to use your powerful position in Congress to:

  1. EXPOSE the anti-gunners plans to repeal your right to self-defense.
  2. PUBLICLY DENOUNCEthe liberals attempt to pass back door amendments that put these laws in jeopardy.
  3. LEAD THE BATTLE in Congress to destroy every single piece of anti-gun legislation and self-defense laws that the gun haters propose.
Signed,
Your Full Name:
(as it appears on your credit card)
*
E-Mail Address: *

 

I have signed the above CITIZENS FOR SELF-DEFENSE INJUNCTION form to Congress urging them to lead the fight to stop any and all laws that infringe on my right to defend myself.

I am personally validating my CITIZENS INJUNCTION and:

I WILL I WILL NOT

make a donation to CCRKBA to help protect and defend the right to keep and bear arms.

Receive Two
"Keep the Change"
Stickers With
Every Donation!

Billing Address:

Street Address: *
City: *
State: *
Zipcode: *
Phone Number:
Fax Number:

Required fields are marked with an asterisk (*)


$20 $25 $50 $100
$150 Other $ . *
Please enter numbers only,
no decimal points or commas.
 
I want to donate the above amount:
One-Time
Weekly (every 7 days)
Bi-Weekly (every 14 days)
Monthly (every 30 days)
Bi-Monthly (every 60 days)
Quarterly (every 90 days)
 

Credit Card Number:
(Please enter numbers only,
no dashes or other punctuation)
*
Credit Card Expiration Date: Month * Year *
Credit Card CVV Security Code:
(What's this?)
*

I have read and agree to the policies below.

You will have the opportunity to review your donation details on
the next page before your credit card is charged.


Security, Privacy, Refund & Recurring Donation Policies

VISA MC AMEX DISC

To send a check, please complete and print this form,
and mail it with your donation to this address:

Citizens Committee for the Right
to Keep and Bear Arms (CCRKBA)

Liberty Park
12500 N.E. Tenth Place
Bellevue, WA 98005

Please make checks payable to CCRKBA.

CCRKBA is a 501(c)4 non-profit organization.
Contributions to CCRKBA are not tax deductible for federal income tax purposes.