Membership Application

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Membership Level: First Name: Last Name: Email: Home Phone: Home Address: City: State: Territory (Foreign) Zip/Postal Code: - Country: Spouse First Name Spouse Last Name

If you would like to manage your account in the future (i.e., view and print donation history, update profile, etc.), please create a login name and password. Your password must be at least eight characters long, and contain at least one number.

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SPECIAL NOTICE:

We have created accounts for current UFWDA members. If you are a current member, please use the 'forgot my password' option to set up your password. To create a new account, go to this link

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