SCAIPC Membership and Resource Directory Form
  1. Please enter the information below and click the submit button
  2. Application Type
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  3. Date
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  4. Representative(*)
    Please type your full name.
  5. Business / Organization
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  6. Phone(*)
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  7. Address(*)
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  8. Website
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  9. E-mail(*)
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  10. Resource Description
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  11. Please select at least one Committee
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      View Committee Descriptions Here
  12. Include in SCAIPC Resource Directory?(*)
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  13. Resource Directory Listing Fees are as follows:
    $125 annual: Jan 1 – Dec 31
    $65 semi annual: July 1 – Dec 31
    $25 – non-profit
  14. Payment Options


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  15. Mail check to: SCAIPC Treasurer, 1643 B Savannah Hwy, Suite 296, Charleston, SC 29407
  16. Payment
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  17. Total
    0.00 USD
  18. Check Number
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    (If available, else leave blank)
  19. Check Amount
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  20. Please upload your company logo using this form or email your logo to: membership@scaipc.org
  21. Upload Logo
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  22. SCAIPC Code of Ethics(*)
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       VIEW HERE
  23. Anti Spam
    Anti Spam
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    Please re-type these letters:
  24.