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Online Membership Application
Basic Information
Company Name
*
Key Contact
*
Title
*
Name
Name You Go By
Email Address
*
This email address will be used for all communication during the application process
Describe Your Business
Please Indicate Other Business Locations
Who proposed membership to you?
Mailing Address
*
City
*
State
*
Zip
*
Physical Address (Leave Blank if Same)
City
State
Zip
County
*
Website
*
Phone
*
Fax
Cell
Other
For South Carolina Residents: State Senator
Check here: scstatehouse.gov/legislatorssearch.php
For South Carolina Residents: State Representative
Additional Contacts
Contact 1 Name
Contact 1 Name You Go By
Contact 1 Title
Contact 1 Email
Contact 2 Name
Contact 2 Name You Go By
Contact 2 Title
Contact 2 Email
Contact 3 Name
Contact 3 Name You Go By
Contact 3 Title
Contact 3 Email
More Additional Contacts
Membership Fees
Retailer
Management Lot - $275
Branch Lot - $175
Manufacturer
$125 per floor - billed monthly: capped at three floors
Service/Supplier Firm
Attorney - $295
Contractor, Repairer, Installer - $295
Insurance - $295
Lender - $295
Supplier - $295
Transportation - $295
Other - $295
Community
Up to 50 spaces - $160
50 - 100 spaces - $210
101 - 200 spaces - $275
Over 200 spaces - $295
Associate
$250
Community Name (if different)
Total
$
Credit / Debit Card
*
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