Please Print and Fill out this form.
| Name: _______________________________________ | Please make checks payable to:
SDSM&T FOUNDATION Please mail to: South Dakota Solar Motion Team |
|
| Address:______________________________________ | ||
| E-mail (optional): ____________________________________ | ||
| # of cells adopted ____ @ $25.00 each = $ ___________ | ||
| _____ Check here if you would like to remain anonymous. |