Registration form – bagrs.org

JOIN US

JOINING US ONLINE

Complete this form.
Then make your first annual dues payment of $40.
Once you complete this form and pay your dues, we set up your membership account, and you will be on track!

If you have any difficulty completing the online registration process, please contact us at communications@bagrs.org and we will be happy to help you out!

Registration

Your first name(Required)

Your last name(Required)

Your email address(Required)

Your best phone number(Required)

Country(Required)

Address ( US )(Required)

Street Address City State ZIP Code

Address ( Canada )(Required)

Street Address City Province Postal Code

Address ( INT )(Required)

Street Address City State / Province / Region ZIP / Postal Code

Password(Required)

Enter Password Confirm Password

Strength indicator

Your First Name

Your Last Name

Your email address

Your best phone number

Your Street Address

City

State

ZIP

Country (if not USA)

Password

Password confirmation

I ACCEPT THE TERMS OF MEMBERSHIP

Password must have:

– 12 characters or more

– Upper and lower case letters

– At least one number

– At least one special character #?!@$%^&*-