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Dillon Community Alliance *New Member* Form
THIS FORM IS FOR MEMBERSHIPS FOR THE 2023 CALENDAR YEAR (JAN-DEC)
Thank you for your interest in DCA! Please fill out this form in its entirety; contact us via email with any questions:
dilloncommunityalliance.sc@gmail.com
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Name
*
Your answer
Business Name (if applicable)
Your answer
Email Address
*
Your answer
Secondary Email Address (useful for Businesses and Family Memberships)
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Would you be willing to be on a committee or help out DCA in any way?
Yes
No
Maybe
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This is a list of all membership options available at this time; if you have any questions about a specific membership level, please contact us via email!
Choose your Membership Level
*
Individual/Family Membership - $50/year
Friends of DCA Membership - $100/year
Business Membership - $150/year
Gold Business Membership - $300/year
How would you like to pay for your membership?
*
Check (Please mail to 221 E Main Street Dillon SC 29536)
Paypal Invoice (We will email you an invoice at our earliest convenience)
Any Questions, Comments, Concerns? Leave them below!
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