Payment Options: (Check applicable payment method)

___ Annual: $1,200 check

___ Quarterly Payments of $300 (Jan, Apr, Jul, Oct)

Please make checks payable to: NGASD

Please return payment and this form to:
Attn: Quenten Johnson
2823 West Main St
Rapid City, SD 57702

For more information and questions on the program, please call 605-430-2981 or email: Thank you again for your support!

Corporate Member Registration Form


Organization: _________________________________________________

Authorized Representative(s): ______________________________________________

Business Address: ______________________________________________________

City: ______________________________ State: ________ Zip: ________

Business Phone: ___________________ Cell Phone: _________________

E-mail Address: _______________________________________________

Web-site address for NGASD to link to your website: ________________________________________

How best notified of upcoming events: ___email ___mail ___ phone

Note: Invitations via email will be sent out prior to each event with additional details.

I/We plan on attending the following events in 2014:

_____Legislative Dining Out (Feb– Pierre, SD)

_____State Officer’s Convention (– Sioux Falls, SD)

_____Golden Coyote Exercise Leaders Call (  – Black Hills)

_____Adjutant General’s Golf Tournament ( – Black Hills, SD)

_____Air National Guard Turkey Feed ( – Sioux Falls, SD)

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