National Dog Groomers Association of America, Inc.

NDGAA NEW MEMBERSHIP APPLICATION FORM

Filling out and submitting this Online Request For New Membership Application will also require you to provide NDGAA with the new membership payment fee of $90.00 (Canadian check/money order $96.00 in US Funds. If you have any problems with our online form you may download our pdf application and either fax or mail it to us. Click here for mail/fax form.

We must receive your payment either by online credit card, or by US mail before we can process your application.

PLEASE NOTE THAT THE PROCESSING TIME FOR A NEW MEMBERSHIP APPLICATION IS APPROX. FOUR WEEKS UNTIL YOU WILL RECEIVE YOUR NEW MEMBERSHIP MATERIAL.

APPLICANT PERSONAL INFORMATION
Applicant's Name:
Address:
City/State/Prov.
Zip/Postal Code:
Country:
Date of Birth:
Home Phone:
Email Address:

APPLICANT PROFESSIONAL INFORMATION
Business Name:
Business Address:
City/State/Prov.
Zip/Postal Code:
Business Phone:
Business Email:
Position:
How Long?
Type of Facility - Land Base or Mobile?

YOUR BACKGROUND INFORMATION
Number of Years Grooming?
Grooming School Graduate? (if yes, Grooming School Name)
Apprenticed Under?
Accomplishments?
Some Basic Background Info:

INFORMATION NEEDED TO MATCH YOUR APPLICATION FORM TO YOUR PAYMENT
How Do You Propose to Pay:		Proposed Payment Method Credit Card Online Credit Card By Fax Mailing Check/Money Order
Type of Credit Card I will be using:
		DO NOT PUT YOUR CREDIT CARD NUMBER OR EXPIRATION DATE INFO IN THIS FORM AS THIS IS NOT A SECURE FORM. Click the Submit Button and you will then be directed to our SECURE Check Out for Fee Payments.
Name on Credit Card to be used for application payment if different than ABOVE applicant's name

After hitting the SUBMIT tab above YOU WILL BE DIRECTED TO OUR SECURE SHOPPING CART SO YOU CAN submit your New Membership Application fee of either $90.00 for payment USA funds, or $96.00 for payment in Canadian Funds.

Accepted Credit Card Payments - Visa / MasterCard / American Express

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