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Individual membership: $35

Agency membership: $175

Sponsoring organization/corporation: $500

Supporting individual: $100

Please submit this online form and then mail your check to:
South Dakota Network Against Family Violence & Sexual Assault -- "The Network"
PO Box 90453
Sioux Falls, SD 57109

First Name		Last Name
Organization (if applicable)
Address		City
State		Zip
Daytime Phone		FAX
E-mail Address
How did you hear about us?     Please select one... Online Yellow Pages Search Engine SD Network Member SD Network Employee Phone Book Friend or Acquaintance
Membership Type     Please select one... Individual Agency Sponsoring Org./Corp. Supporting Individual
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