Seminar Registration Form

WORKSHOP REGISTRATION
Charleston Workshop	Summerville Workshop
$50 in advance (Online) $55 at the door	$65 for Chamber Members $75 for non-Chamber Members
Make Check and Money Order Payable to: SCORE Major Credit Cards are NOT Accepted	Moncks Corner Workshop
	$20 in advance (Online) $25 at the door

To assist us in preparing for the workshop, please complete the information requested below. All fields in bold are required.

Tell Us About Yourself First Name
Last Name
Company Name
Email Address
Please enter a valid email address Telephone
Please enter numbers only - area code first Fax Number
Address
City
State
Zip

Tell us about your Business Which workshop you like to attend?
Are you in business for yourself? Yes No
Are you planning to start a new business? Yes No
Select what best describes your business type?
Enter details in comment section if you desire Please check the following,
as applicable to you Male Female Minority Hispanic Veteran Disabled Veteran

used for government statistical purposes only How did you hear about the workshop?

Seminar Registration Form

WORKSHOP REGISTRATION