SOUTH CAROLINA ASSOCIATION OF
EXTENSION ADMINISTRATIVE PROFESSIONALS
2012 - 2013
Membership Application
(July 1, 2012 - June 30, 2013)
Name: ________________________________________________
Dept/County: ___________________________________________
Address: _______________________________________________
City: _______________________ State: ____ Zip: ____________
Phone: ___________________ Fax: ______________________
E-mail: ________________________________________________
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|
Check (√) One |
| County/Campus Membership Dues: $40/year - Active employees | $40.00 _____ |
| Retirees have the option to pay: $20/yearly or $50/lifetime membership |
$20.00 _____ $50.00 _____ |
|
Total Enclosed |
$_________ |
Dues must be paid by December 1, 2012.
Checks/DPV should be made payable to SCAEAP and mailed along with a copy of Membership Application to:
CUBS NOTE: Vendor number: 0000076090, location #1 (Shortname: SCAEAP-002)
When making payment by DPV, please type in the "Comments Section" of voucher your name; county name, and purpose i.e. Dues.
(Print out and Mail)