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Use this form to renew your membership, make a donation, or update your
information.
We need your support, so please help us by sending your contribution.
Please Print this page, and mail the completed form to:
Sioux Valley Chapter HDSA
P.O.Box 1311
Sioux Falls, SD 57101-1311
| ___$15.00 Member | ___$25.00 Benefactor |
| ___$50.00 Angel | ___$100.00 Century Club |
| $_______ Other | $_______ Dues Enclosed |
| Name:______________________________ |
| Address:_____________________________ |
| City:___________________State:______Zip:__________ |
| E-Mail address:__________________________________ |
| Phone: (____)_________________ |
Make checks payable to:
Sioux Valley Chapter, HDSA
Disclaimer:
The Sioux Valley Chapter, HDSA, attempts to report items to it's people that may be helpful. Each item may be helpful for some persons, and not for others. When considering any treatment or therapy, you should consult your doctor to get expert advice. As such, the Sioux Valley Chapter, HDSA, cannot accept liability for the information it provides in the Kaleidoscope Newsletter, or this Web Site.