SCAS New Membership and Dues Renewal Form

Please fill in the information below and submit. Please see bottom of the form for online payment options. Any field marked with an asterisk (*) is required information.

  I am a  *   
  Membership Number  (Enter 0 if number is not know or you are a new member) *          
  First Name and middle initial*        Last Name *      
  Field of Interest *      
  Address  *      
  City  *          State  *         Zip  *       
  Phone    Email  *       
 If you do NOT wish your email address be used for periodic Academy updates, please check here 
 

  If a joint account, please enter the information for the joint member below.
  First Name and middle initial    Last Name 
  Field of Interest 

  Type of Membership*
Please select ONE from the options below

  Student Membership  $15.00 Teacher Membership        $15.00 Regular membership  $35.00
Joint Membership      $50.00 Contributing membership  $50.00 Patron Membership  $100.00

Lifetime Membership  $525.00

  Once you have filled in the proper information, please click on the submit button below. You will receive a confirmation which you may print for your records. After submitting, you will be directed back to this page where you may click the link below to pay online. If you do not wish to pay online, please mail your check to:

Dr. John Safko, SCAS Treasurer
USC - Physics Dept.
Columbia, SC 29208

  If you decide to pay online through Paypal, please enter the name on the credit card you will be using here:
 

  Proceed to Online Payment Page

  If there are any questions or problems concerning this page, please contact Anthony Kurlychek at kurlycha@gwm.sc.edu, or (803) 777-8759. Thank you and welcome to the SCAS.