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We Thank Your Business for Becoming a Member of The Wellness Council for Coastal South Carolina...

Please fill out the information below & we will contact you regarding finalizing your business membership in The Wellness Council for Coastal South Carolina.

* Required fields
Name *
E-mail Address *
Gender
Home Address *
Business Address *
Name of Business *
Mailing Address (If different)
Home Phone
Business Phone
Cell Phone
Fax
Contact Preference * Home Phone
Business Phone
Cell Phone
Fax
E-mail
Would you be interested in serving as a board member? * Yes
No
Please list any Activity or Business Program you have in place that promotes wellness, environmental protection, etc. at your place of business. i.e. (Recycling, Health Club Memberships, etc.) *
Why are you interested in becoming a member of the Wellness Council for South Carolina? *
The Wellness Council for South Carolina has numerous volunteer opportunities. Please indicate your interest. * Membership
Sponsorship/Fundraising
Wellness EXPO
Earthday
Annual Meeting
Legislative Watchdog
Environmental Projects
Green Strand
Personal Health Projects
Adveritising/Printing
Ad Campaigns
Design & Graphics
All of the Above
If you are interested in more than one Volunteer Opportunity, but not all opportunities; please list your areas of interest:
Membership Fee *
Length of Commitment * Current Year
2 Years
3 Years

I have read and agree to the Privacy Policy *

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