CART Online Membership Form

Nebraska Dressage Association Membership

Please fill out and submit the information below, and then return to the Membership page to complete your Paypal payment. Please note all online memberships have $1 online processing fee included.

* Indicates required field

Membership Type *

$51 Adult Individual $41 Junior Individual $36 Junior - Pony Club/4H $71 Family (2 members)

Choose One *

New Member Renewal

Extras *

$26 Additional Family USDF group/non-voting member

Name - Voting Member #1 *

First

Last

USDF Number *

Name - Voting Member #2 (Family Membership) *

First

Last

USDF Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Birth Date (if junior) *

Horse Registration (if applicable)

Horse Name *

Member Name *

Breed *

Color *

Sex (M/G/S) *

Foaling Year *

Owner Name *

Choose One *

$41 New Lifetime Horse Registration $0 (for record-keeping purposes only)

Submit Registration

Adult Individual

$52.50

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