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
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Title
First Name *
Last Name *
School
Other School
If you selected "Other" please provide your school name.
District/Institution
Other District
If you selected "Other" please provide your district or institution's name.
Email Address *
Position
Other Position
If you selected "Other" above, please tell us what you do.
Address
Address 2
City
Other City
If you selected "Other" please provide your city name.
State
Please provide state abbreviation.
Zip
Phone Number
Please use (###) ###-#### format.
Membership Type *
Individual ($35); Full-time 2/4 Year College Student ($10); First-Year Teacher (Free); Institutional ($75 for first 3 members/$25 for each additional membership)
Purchase Order Number (optional)
Questions/Comments
Submit
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