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CordilleraID Credential Request

  1. CordilleraID

    CordilleraID is a state-of-the-art, encrypted ID card that Cordillera residents use to access Cordillera facilities. The card and the door locks that support them allow Public Safety staff remote, centralized access control of all Cordillera facilities. The cards contain a unique, encrypted identifier that cannot be cloned or duplicated. This will help to ensure that Cordillera amenities are being access by only approved individuals.

  2. Club members who are not Cordillera property owners should use their non-Cordillera address information.

  3. Club members who are not Cordillera property owners should use their non-Cordillera address information.

  4. Numbers only. For example: 9709261923

  5. Click the "Browse" button on the right side of the field to select a photo of yourself. A standard selfie will do. Be sure your face is clearly visible and ensure that you are not wearing a hat or sunglasses. Minimum photo resolution is 250px x 250px.

  6. Add a household member?

    If you would like to request a CordilleraID card for another member of your household, please select yes.

  7. Equestrian Boarding*

    Are you boarding a horse at the Equestrian Center?

  8. Cordillera Club Member*

    Are you a Cordillera Club member?

  9. Mailing Address

    Please indicate the address you'd like your CordilleraID card mailed to. Due to Covid-19 restrictions, all CordilleraID cards will be sent through the US Postal Service.

  10. Numbers only. For example: 9709261923

  11. CordilleraID requires a photo for each cardholder. Click the "Browse" button on the right side of the field to select a photo of yourself. A basic selfie is preferred. Please be sure that your face is clearly visible and that you are not wearing a hat or sunglasses.

  12. Add a household member?

    If you would like to request a CordilleraID card for another member of your household, please select yes.

  13. Numbers only. For example: 9709261923

  14. CordilleraID requires a photo for each cardholder. Click the "Browse" button on the right side of the field to select a photo of yourself. A basic selfie is preferred. Please be sure that your face is clearly visible and that you are not wearing a hat or sunglasses.

  15. Add a household member?

    If you would like to request a CordilleraID card for another member of your household, please select yes.

  16. Numbers only. For example: 9709261923

  17. CordilleraID requires a photo for each cardholder. Click the "Browse" button on the right side of the field to select a photo of yourself. A basic selfie is preferred. Please be sure that your face is clearly visible and that you are not wearing a hat or sunglasses.

  18. Add a household member?

    If you would like to request a CordilleraID card for another member of your household, please select yes.

  19. Numbers only. For example: 9709261923

  20. CordilleraID requires a photo for each cardholder. Click the "Browse" button on the right side of the field to select a photo of yourself. A basic selfie is preferred. Please be sure that your face is clearly visible and that you are not wearing a hat or sunglasses.

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  22. This field is not part of the form submission.