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United States Dressage Federation - Secure

Membership Application - Step 1 of 3

Note:
Only those individuals that renew their USDF Participating, Group, or Business Membership before December 31 of the new membership year will receive the yearbook issue of USDF Connection, published in February.



Member Information:
Business Name
First Name
Mid. Name
Last Name
USDF Member #
USEF Member #
Address
City
State ex: KY not Kentucky
Zip
Country
Primary Phone
Fax
E-mail
Verify E-mail
Website
Business Membership (BM) Options

Publications Information:
Please do NOT mail me the following. I will access the online version.
Membership Card
USDF Connection Magazine
USDF Member Guide
Yes, please send me important electronic member information, such as renewal notices, member news and competition updates.

Contribution/Donation Information:
Circle of Friends $

Credit Card Billing Information:
Credit Card Type
Card Exp. Date  ex. 0102 or mmyy
Credit Card Number  ex. 1111222233334444 (no dashes or spaces)
If the card holder information is exactly the same as above, you do not have to fill in the fields below.
First Name
Last Name
Address
City
State
Zip
For security reasons, please enter this code in the box below. Having trouble reading the code? Click on “Load New Code” to enter a new code.
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By submitting this form, I am stating that I have read and agree to the Terms and Conditions
             

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