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):
ٱSalvage ___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? ______________________