FWDCMembership

Address: *

Phone #

- Area Code Phone Number
Birthdate

/ Month / Day Year
mm/dd/yyyy
E-mail *
Membership Fees

$35 - Junior Rider $45 - Individual (Amateur or Professional) $65 - Business (includes business card printed in newsletter) $30 - Additional Family Member. (please fill info in below) $30 - Additional Family Member. (please fill info in below) $30 - Additional Family Member. (please fill info in below) Free - Weekly newsletter by email.
Family Member

First Name Last Name
USDF #
E-mail
example@example.com
Phone Number

- Area Code Phone Number
Birthdate

- Month - Day Year
Date

Address

Address

I would like to serve in the following areas:

Board of Directors Show Committee Organize Educational Programs Organize Clinics Clinician Special Events Junior Riders Anywhere needed (list special skills)
Special Skills
Total Due
The Details
1. Membership runs from December 1 to November 30.
2. Payment can be made at :
  1. https://www.paypal.me/FWDC
  2. Be sure to select "Friends & Family" / personal. (otherwise FWDC will be charged a fee.)
  3. Please add a note that your payment is for Membership dues.
If you prefer, you can mail your application and payment to:

Donna Claunch

1308 Marydale Dr.

Arlington, TX. 76013

If you experience any difficulties with this automated process, please email:

FWDC@yahoo.com
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm