Current Members

Thank you for being an ISD member. You are the driving force of the coalition’s efforts to improve vaccine confidence and awareness in South Dakota and empower Immunize South Dakota to improve the health and wellness of all South Dakotans.

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Personal Information

Name*

First Last

Credentials

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Professional Information

Organization*

City*

Title*

Is your role patient-facing?*

Yes

Engagement

How would you like to be involved with ISD?*

Be added to the ISD e-mailing list

Ask friends and family to join ISD

Be an advocate for strong vaccine policy

Post and share on social media

Volunteer at an event

Join the government relations committee

Join the conference planning committee

Join the community awareness committee

Join the education and communication annual planning committee

Share a vaccine-related story

Organize a fundraiser

Serve as a medical advisor to the board of directors

Be added to the speaker list

Please list each topic you could present on with a brief description:

I would like to make a tax-free donation to ISD

Yes

Donation Amount*

Total

Credit Card*

Cardholder Name

Card Details

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As a member of ISD:*

As a member of ISD, I pledge to advocate for vaccines by spreading accurate information about the disease burden, safety, and effectiveness of vaccinations.

Email List

I consent to be added to the ISD email list for updates and newsletters.

Tell us how you heard of us

Contact Us:

info@immunizesd.org

P.O. Box 88913
Sioux Falls, SD 57106

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