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*Member Login Name:
(Notice: NO spaces in member login name.)
*Password:
*Re Enter Password:
Profile
*First Name:
*Last Name:
*Address:
*City:
Aberdeen
Alcester
Alexandria
Arlington
Armour
Ashton
Avon
Baltic
Belle Fourche
Beresford
Big Stone City
Blunt
Bonesteel
Bowdle
Box Elder
Brandon
Bridgewater
Bristol
Britton
Brookings
Bruce
Bryant
Burke
Buffalo
Camp Crook
Canistota
Canton
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Central City
Chamberlain
Clark
Clear Lake
Colman
Colome
Colton
Columbia
Conde
Corsica
Crooks
Custer
Deadwood
Dell Rapids
Delmont
De Smet
Doland
Dupree
Eagle Butte
Edgemont
Egan
Elk Point
Elkton
Emery
Estelline
Eureka
Faith
Faulkton
Flandreau
Fort Pierre
Frankfort
Freeman
Garretson
Gary
Gayville
Geddes
Gettysburg
Gregory
Groton
Harrisburg
Hartford
Hecla
Herreid
Highmore
Hill City
Hitchcock
Hosmer
Hot Springs
Howard
Hurley
Huron
Humboldt
Ipswich
Irene
Iroquois
Jefferson
Kadoka
Kimball
Kosmos
Keystone
Lake Andes
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Lake Preston
Lead
Lemmon
Lennox
Leola
Ludlow
Lander
McIntosh
McLaughlin
Madison
Marion
Martin
Marty
Mellette
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Mount Vernon
Murdo
Newell
New Underwood
North Sioux City
Oldham
Onida
Parker
Parkston
Philip
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Platte
Presho
Rapid City
Ravina
Raymond
Redfield
Reva
Roscoe
Ralph
Salem
Scotland
Selby
Sioux Falls
Sisseton
South Dakota City
Spearfish
Spencer
Springfield
Sturgis
Summerset
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Tea
Timber Lake
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Veblen
Vermillion
Viborg
Volga
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Waubay
Webster
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Wessington Springs
White
White Lake
White River
Whitewood
Willow Lake
Wilmot
Winner
Woonsocket
Yankton
*State:
SD
*ZIP:
*Email:
Email 2:
Website:
Practice Name:
*Members Specialty:
Specialty 1
Specialty 2
Specialty 3
*Office Phone:
Fax:
Cell Phone:
Spouse:
DC College:
*SDCA Dist:
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2
3
4
5
6
Legislative District:
*Level Of Participation
Please check a level of participation:
General Membership Dues: $600
New Doctor Dues:
Licensed in 2007, pay $500.
Licensed in 2008, pay $350.
Licensed in 2009, pay $150.
Licensed in 2010, pay $50.
Senior Member Dues:
Age 70-74, pay $300
Age 75 and above, pay $200.
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