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Renew Membership

To renew your current membership, select your name from the drop-down menu below and your information will automatically populated.

Membership dues may be paid via credit card online using the form below. Alternatively, if you opt to not pay online, a $95 invoice will be emailed to you.

Price: $95.00
Member:
 (Select your name from this list and your information will be automatically populated.)
First Name:   
Last Name:   
Preferred Name:
Business Name:
Street Address:   
City:   
State:
Zip Code:   
Phone Number:   
Fax Number:
Email Address:   
Confirm Email Address:      
Website:
License Type:
License Number:
Pay Online:
(By selecting this option, you will be redirected to a secure transaction page to complete your online payment.)


For electronic payments, we accept Visa, MasterCard and Discover.
P.O. Box 7521 | Rapid City, SD 57709
(605) 484-1054
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