SD FFA Alumni Association Membership Form

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South Dakota FFA Alumni Association
Alumni Contact Information
Dawn Nagel
Alumni Coordinator
dmnagel@yahoo.com
(605)769-0013
“LIVING TO SERVE”
South Dakota FFA Alumni Association Membership Application
**Prior participation as an FFA member is not required to support FFA as an Alumnus**
___ I am a Collegiate FFA member attending ______________________ and would like to be a
Collegiate Annual Member ($15.00)
(College name)
___ I would like to be an Annual Member. ($20.00)
___ I would like to be a Lifetime Member. ($170.00 one-time payment)
___ I would like to be a Corporate Member. ($320.00 annual membership, benefits include being
listed on the Alumni website, convention program and the New Visions newsletter)
___ I would like to receive the New Horizons FFA magazine. ($2.00 with Annual Membership, no cost
with Life Membership)
___ I would like to receive the New Visions National FFA Alumni Association Newsletter
(No cost with membership)
___ My check is enclosed in the amount of $__________
Name: _________________________________________ Phone: ________________________
Company Name: ________________________________________________________________
Address: _______________________________________________________
City: ________________________ State: ________ Zip Code: ________________
E-mail: ______________________________________
Chapter Affiliation (optional): ___________________________
Please mail form and payment to:
Dawn Nagel
c/o South Dakota FFA Alumni Association
409 West Logan Avenue
Gettysburg, SD 57442
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