SDNHOC Membership Renewal Form

SDNHOC Membership Renewal Form

Today's Date:

Entity Information

Name of Entity:

Email Address:

Billing Address:

City:

State:

Zip/Postal Code

Country:

Main Point of Contact

Please indicate who the primary contact is for your organization's membership for the next year. This person will receive membership renewal information and other membership details throughout the year.

First Name:

Last Name:

Phone Number:

Email Address:

Additional Information

Which membership level are you renewing (reference your renewal email for your current membership level)?

Lodge Pole - $350Buffalo Hide - $500Painted Tipi - $1,000Travois - $2,500Tiospaye - $5,000Kola - $10,000Student - $25Individual - $75

Visit our website to learn more about each membership level: https://www.sdnativehomeownershipcoalition.org/joinus/

Please upload proof of enrollment at a post-secondary institution to receive the discounted student rate.

How would you like to pay for your membership renewal?

Online/via credit cardInvoice/via check

Invoice

SDNHOC staff will be notified to generate and send an invoice shortly.

Do you have any additional questions or comments for SDNHOC?

Payment Information

Name on Credit Card

Credit Card Number

CVV Number

Card Expiration Month (MM)

Card Expiration Year

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Contact Information