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Membership Application
South Dakota Insurance Alliance
P.O. Box 1022, Milbank, South Dakota 57252
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MEMBERSHIP
FORM
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Type of Membership requested (check
one):
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Full Member ($450)
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Associate ($200)
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Primary Contact
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Title
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Company
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Mailing Address:
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Telephone Number:
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Fax:
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e-mail address:
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Mail to: SD Alliance, Box 1022, Milbank,
SD 57252
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Amount Enclosed: $
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The South Dakota Insurance Alliance is a non-profit trade
association.
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