All fields are required
Name:
Address:
City:
State:
Phone Number:
E-mail:
I want to sign up for Operation Roundup (place x in box)
I would like to donate an additional $ per month. *If you do not wish to donate additional money, you must put 0 in the box.
Please type the characters above exactly as they appear into the box below. This is case sensitive.
Thank you for your input!
West River Electric Association, Inc. || Copyright © All Rights Reserved Rapid City office || 605.393.1500 || 1.888.393.1500 || info@westriver.com Wall & Enning area office || 605.279.2135 || 1.888.279.2135 || info@westriver.com Site Developed in part by Basin Electric Power Cooperative