Individual Membership Form

$35.00 annually – for benefit information click here

Please fill out the form completely. You will be invoiced for your membership once it has been approved.

First Name

Last Name

Street Address

City

State

ZIP

Email

Phone

Do You Belong to a Member School?

Yes No

If so, Member School Name:

If other:

Discord Handle

Brief Personal Bio and Other Comments:

How did you hear about the USDLDF?