First Name

Last Name

Email Address

Phone

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Are you currently or have you been an elected official? Are you currently or have you been an elected official?YesNo

Level of Government Level of GovernmentNationalStateCountyCitySchool BoardOther

What was the last office that you held?

Where in Pennington County do you reside? Where in Pennington County do you reside?Rapid CityBox ElderHill CityNew UnderwoodKeystoneWallQuinnWallRochfordCaputaCreightonOther

Where do you current reside?

Please provide a short biography about yourself here. (Max limit is 500 words)

Please provide a short biography about yourself here. (Max limit is 500 words)

Would you like to provide an endorsement message? (Optional) Tell us why you're supporting Ryan and why you would encourage others to as well.

Would you like to provide an endorsement message? (Optional) Tell us why you're supporting Ryan and why you would encourage others to as well.

What's your current occupation?

Where in Pennington County do you reside? Where in Pennington County do you reside?Rapid CityBox ElderHill CityNew UnderwoodKeystoneWallQuinnWallRochfordCaputaCreightonOther

Please provide a short biography about yourself here. (Max limit is 500 words)

Would you like to provide an endorsement message? (Optional) Tell us why you're supporting Ryan and why you would encourage others to as well.

Where do you current reside?

Please provide a short biography about yourself here. (Max limit is 500 words)

Would you like to provide an endorsement message? (Optional) Tell us why you're supporting Ryan and why you would encourage others to as well.

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