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Dillon Community Alliance **2023 RENEWAL** Form
THIS FORM IS FOR MEMBERSHIPS FOR THE 2023 CALENDAR YEAR (JAN-DEC)
Please fill out this form in its entirety; contact us via email with any questions:
dilloncommunityalliance.sc@gmail.com
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* Indicates required question
Name/Business Name
*
Your answer
Updated Email Address
Your answer
Would you like to add a secondary email address onto your membership (good for business or family memberships)?
Your answer
Updated Mailing Address
Your answer
Updated Phone Number
Your answer
These are the membership options for 2023:
Select a membership for 2023:
*
Individual/Family - $50/yr
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 check promptly to 221 E Main Street Dillon, SC 29536)
Paypal Invoice (We will email you an invoice at our earliest convenience)
Would you be willing to be on a committee or help out DCA in any way in 2023?
Yes
No
Maybe
Clear selection
Any Questions/Concerns - please write them below!
Your answer
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