South Carolina ASCD Membership Form
Purchase orders can be scanned and emailed to: billing@scascd.org

Payment Instructions
After submitting your South Carolina ASCD membership application, we will email you an invoice with three payment options: 1.) Mail-in payment; 2.) Pay by credit card; 3.) Pay with PayPal

Title
First Name
Your answer
Last Name
Your answer
School
Your answer
District/Institution
Your answer
Email Address
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Position
Other Position
If you selected "Other" above, please tell us what you do.
Your answer
Address
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Address 2
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City
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State
Please provide state abbreviation.
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Zip
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Phone Number
Please use (###) ###-#### format.
Your answer
Membership Type
Purchase Order Number (optional)
Your answer
Questions/Comments
Your answer
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