YES!

I want to join the

Oahe Chapter of

ABATE of SD!

Enclosed are my dues of $25.00 for a

One-Year Membership.

($5.00 is voluntarily donated to IMPAC)

Make check or money order payable to:
Oahe ABATE

 

This membership is:
       ____ New ____ Renewal ____ Address change

 

Name: ________________________________

 

Address: _______________________________

 

_______________________________________

 

Phone: _________________________________

 

Email: _________________________________

 

Voting District: __________________________

 

Are you a registered Voter? _____ Yes  _____ No

 

____ I do not wish to join A.B.A.T.E of SD but I would like to contribute $_____________to the IMPAC fund.

Print form and complete and mail
Form and Dues to:

Oahe ABATE

PO Box 331
Pierre SD  57501-0331