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Wellness Council for Coastal South Carolina Individual Membership Form

Name *
E-mail Address *
Gender * Male
Female
Spouse/Partner Name
Home Address *
Home Phone *
Business Phone *
Cell Phone
Fax
Why are you interested in becoming a member of the Wellness Council for South Carolina? *
The Wellness Council for South Carolina has several volunteer opportunities. Please indicate your interest. * Membership
Sponsorship/Fundraising
EXPO
EARTHDAY
Annual Meeting
GREEN STRAND
Legislative Watchdog
Environmental Projects
Personal Health Projects
Advertising/Printing/Ad Campaigns
Design & Graphics
All of the Above
If you are interested in one or more of the volunteer opportunities, please list your areas of interest.
Are you interested in serving as a Board Member?
Membership Fees * Student $10
Senior Citizen (65 & Over) $20
Individual $30
Length of Commitment *

* Fields marked with an asterisk are required fields

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