Registration Form
South Carolina Tax Council
Post Office Box 887
Lancaster, South Carolina 29721
(Voice) 803-283-9988 (Fax) 803-286-8928

PLEASE COMPLETE, PRINT AND FAX TO 803-286-8928

Name: Phone:
Firm: Phone:
Address: Fax:
City:
State: Zip:
Email Address:

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Please complete every line below even if not applicable (i.e. 0 “zero”)
Only one registrant per form — Make copies as necessary.


@ $ 220.00 ea. Member Registration Fee Enclosed

@ $ 35.00 ea. Registration after October 23, 2009 (postmark)

@ $ 300.00 ea. Non-Member Registration Fee (includes membership dues)

@ $ 20.00 ea. Number of Monday Guest Lunches (guests only)

@ $ 30.00 ea. Number of Monday Night Guests Benjamin's/Dean Martin (guests only)

@ $ 20.00 ea. Number of Tuesday Guest Lunches (guests only)

 

$ Donation to General Fund

$ Total

Method of payment:
Check Enclosed
Visa MC # Expires

Signature _______________________________
I understand and agree that my Credit Card will be charged for this amount.
If paying by credit card you may fax to: 803-286-8928

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