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Video Consortium Membership Application
 
 Congratulations on your decision to save money and enhance employee training!

To complete the membership process, you may:

  • Complete and submit the online form on this page.
     
  • Use our printable membership form and fax or mail it to:  Piedmont Technical College, P.O. Box 1467, Greenwood, SC 29648, Attn: Johanna Gunter.  Fax:  (864) 941-XXXX.

Online Membership Form

Company Name:
Mailing Address:  
City  
Zip Code  
Contact Person  
Title  
E-Mail Address  
Phone  
Fax  
 
3 Payment Options (Choose One)
Annual Dues: $399.00 Initial Membership / $299.00 Renewals 
 
Option 1
     Bill Company     Attention:

Option 2
     Credit Card     
         Card Number:  Exp. Date: 

Option 3
     Check Payable to:

Piedmont Technical College
Attn: Johanna Gunter
Continuing Education Division
PO Box 1467
Greenwood, SC 29648
 

 

   Last Updated April 15, 2003