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CLICK HERE FOR
PRINTABLE APPLICATION TO FAX OR MAIL THEN PRINT THEN CLICK BACK TO SCRDA - THANK YOU Membership Application ٱNew Applicant _____________Renewing Member ___________ Direct Member $200 Associate Member $100 Company _________________________________________________________ Contact Name____________________________ Title _____________________ Mailing Address ____________________________________________________ Street Address______________________________________________________ City _____________________________ State __________ Zip ______________ Telephone ____________________________Toll free _____________________ Fax Number _______________________ Email __________________________ Website_________________________________ ______________________________________ __________________ Signed Date
Thank you for your interest in our organization. Start up dues must accompany this application. If you have any questions, please call Gabrielle Barnes at (803) 252-1087. Please make check payable to SC Recyclers and Dismantlers Association or SCRDA and mail to:
SCRDA Attn: Membership P.O. Box 1763 Columbia, SC 29202
THE FOLLOWING QUESTIONS ARE FOR DIRECT MEMBER APPLICANTS ONLY. Your association acquires and compiles data from its members. It is not necessary for you to answer the questions, but the more information we are able to obtain, the more productive our association will be. Business Type (s): ٱ Salvage ٱ Auto Sales ٱ Rebuilder ٱ Specialty ٱ Other_____________Years in Business _________ Including all active officers and owners, number of full time employees? ________ Is your inventory computerized? ٱ Yes ٱ No Are you an Eden member? ٱ Yes ٱ NoDo you and/or your employees have access to medical coverage through your company? ٱ Yes ٱ NoAre you a subscriber to any other long distance services? ٱ Yes ٱ No If yes, which one?________________Do some or all of your employees wear uniforms? ٱ Yes ٱ No If yes, cost per employee per week? ________What is your workers’ compensation experience modification? ______________________ |
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