Rapid Response Enrollment Form
Front Sight Mid Week Legacy Lifetime Membership

Yes Dr. Piazza, I would like to secure a Front Sight MID WEEK Legacy Lifetime Membership and assist you in positively changing the image of gun ownership in our lifetimes. I understand the Lifetime Mid Week Legacy Membership provides the following benefits:

Payment: Single payment of $997.

Name to be placed on your membership:____________________________________________

Address: ___________________________________________________________________

City: _______________________________________ State: ________ Zip Code: __________

Home Phone: ____________________________ Work: ______________________________

Credit Card Number: ______________________________________ Expires: _____________
(VISA, MasterCard, Discover, American Express or a combination of cards for the single payment)

Signature: ________________________________________________ Date: _____________

Fax Immediately to 707.837.0694
If paying by check, mail TODAY to 7975 Cameron Drive, #900, Windsor, CA 95492