counter free You may use this form to update your Pioneer address, telephone, email address, and provide other information.

Required fields *

Name* Phone*


City*       State*            Zip*              

      I would like to receive Pioneer news via email*
       Type in your e-mail or "none"
Central    Metro               So. Dakota

Click your mouse on Membership type* > Life
ActivePartner Associate
                                                    Click your mouse on your membership type above *

Additional information

                                    the Pioneer membership data base (example spouse, additional

   Type any additional comments you would like to pass onto
                                                   the Minnesota Pioneer Chapter #18

Enter web form code
Web Form Protection Code
reload image