Dakota Rural Action 32nd Annual Meeting Registration Form
Friday, Oct. 4th

Rimrock Camp
23125 Thunderhead Falls Rd
Rapid City, SD 57702

REGISTRATION (DRA Business Meeting)
$30 Friday Only/Person
First Name *
Your answer
Last Name *
Your answer
Who will be joining you?
Your answer
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
I am interested in carpooling and or ride sharing to Saturday's EPA hearing in Hot Springs from Rimrock Camp*** *
I have something to donate to the raffle basket fundraiser! (Please select which basket(s) you're donating to) *
Interested in camping or lodging at Rimrock Camp? $20 per person per night. Weather permitting camping, lodge & cabin spots available. *
Payment Type *
Your answer
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