2021 NFDA Membership Form
What is your first name?
What is your last name?
What is your membership category?
Individual / Supporting Member ($65.00)
Vintage Member - Age 50 and up ($65.00)
Junior Membership - Age 18 and under ($65.00)
Family Membership ($65.00 for primary member, $25 for each additional member)
What is your full mailing address?
If you know your USDF number, please enter it below.
What is your phone number?
May we list your name in our Member Directory?
No, thank you
Please list the names of additional family members you are joining.
Please list any areas in which you would be willing to volunteer with our organization.
Please list any special talents that you have that you would be willing to use / donate time for our club.
What are your main interests (click all that apply)?
Clinics / Seminars
Social Events / Networking
What is today's date?
How are you paying for your membership?
Paypal via the NFDA Website
Mailing a check for the total amount to: NFDA, C/O Michelle Velasco, PO BOX 66077, Orange Park, FL, 32065
Pay by Clover
A copy of your responses will be emailed to the address you provided.
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