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 SCACS
 Post Office Box 11405
 Columbia, SC 29211

 (803)-419-0804
 Fax: (803)-419-4295

 
South Carolina Association of Convenience Stores

Members List and Search

 Committees

SCACS Membership Application

(for a printable Membership Application, Click Here)

Retail Member Application
(Convenience Store Operators)

Supplier Application
(Supply product or service to stores)

Annual Dues - select one from below

$100.00 1 Store
$250.00 2-5 Stores
$400.00 6-14 Stores
$600.00 15-24 Stores
$750.00 25 or more Stores

Annual Dues

$500.00

Product Category :

Method of Payment

 (all fields required)
Credit Card Type
Credit Card Number
Expiration Date Month / Year
Name appearing on card
Billing Address

Street

City State Zip

Membership Information
Company Name
DBA
Address 1
Address 2
City
State
Zip
Phone
Fax
Email
Web site
Contact Name
Contact Position
Alternate Contact
Retail Member Information (Only Retail applicants complete this section)
Number of Stores
Stores in SC
Number of Employees
Store Names
Supplier Members - please list your Products and/or Services below:

 
 

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