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AUTOMATIC TELEPHONE DIALING SYSTEM REGISTRATION FORM
South Dakota Public Utilities Commission
500 East Capitol Avenue
Pierre, SD 57501- 5070
Telephone: (605) 773-3201
 puc.sd.gov

The information requested herein is required under state law. SDCL 37-30-23 through SDCL 37-30-29, and SDCL 37-30A impose certain restrictions on the use of automatic telephone dialing systems and require any person intending to use an automatic telephone dialing system for a telephone solicitation to register with the South Dakota Public Utilities Commission at least ten business days prior to using the system. Failure to register with the Commission is a Class 2 Misdemeanor. Please see SDCL 37-30-1 through SDCL 37-30-22 and SDCL 49-31-99 through SDCL 49-31-108 for more on telephone solicitation.
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Registrant's state & ZIP code:Registrant's city:
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Date solicitation will end: *
(mm-dd-yyyy)Date solicitation will begin:*
(mm-dd-yyyy)Nature of solicitation (purpose of call and property, goods or services being offered, if any):*Complete street addresses of all locations from which registrant will be conducting its telemarketing activities:*Registrant's e-mail:Registrant's fax number:Registrant's phone number:Registrant's address:Name(s) under which registrant is doing or intends to do business:*(555)555-5555 Registrant's Name: *