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“A VOYAGE OF DISCOVERY”

 

Beaufort County Senior Leadership

 Application

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Please print and mail completed form.  Applications are considered in the order in which they are received.  A confirmation letter will be sent to you upon receipt.

 

Tuition is $350.  Make Check Payable to

Beaufort Regional Chamber of Commerce (BRCC)

and mail check and form to:

 

Venus Clayton 

Beaufort Senior Leadership

18 John Galt Road

Beaufort, SC 29906

(843) 473-6021

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Name ______________________________________________________

 

Address _____________________________________________________

 

City/State (abv)/5 digit Zip_ __________________________ ___________

 

Nickname____________________________________________________

                

Local Neighborhood (if applicable)________________________________

 

CONTACT INFORMATION: (INCLUDE AREA CODE)

                                                                                                                       

Home Phone _________________________________________________

 

Mobile Phone ________________________________________________

 

Email Address ________________________________________________   

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