ISDRA Membership profile information:

Order: Date: 

Please complete any additional information requested below.  You may add information
at a later date as needed.  

If the member information is different from the information provided to PayPal, please
provide the correct name and address below.  If the information is the same, you may skip.

First Name* Last Name* Date of Birth
        
Address1*

(MM/DD/YYYY)

Address2
City* State/Province/Prefecture*
Country Mail Code (Zip Code)*
   *required fields  
Telephone Number Fax Number
Email address

ISDRA #  (renewals or updates)


The information below will be used in your on-line
musher profile and to send personal press releases to your local newspaper.
  

On-Line Musher Profile info
  

URL (website address):

Racing

Kennel Name:

since:

(year)
Major Bloodlines:
Sponsors:
(separate with commas)
Your Occupation:
ISDRA Club Affiliation:
(If more than one, enter only the one raced with most often)

Personal Press Release info

Newspaper Name: Fax number:    (ARF!)
Editor First Name: Last Name:


Please note: The Newspaper FAX number must be included or
 personal press releases can not be sent.