ࡱ> '` ,RbjbjLULU .?.?ISy   48888p|4aSpdX!n!n!n!'$&|)(JJJJ?JNR$Th9W~RE (#^'$((Rn!n![S---(^Rn! n!J-(J--4P" Dn! (T8G)j!D~F1S0aSDW)W$DW D-(((RR,^(((aS((((44484448444  STATE OF SOUTH CAROLINA DEPARTMENT OF CONSUMER AFFAIRS MOTOR CLUB REPRESENTATIVE APPOINTMENT SUMMARY  HYPERLINK "http://www.state.sc.us/consumer" www.scconsumer.gov 803-734-4291/800-922-1594 Date:  FORMTEXT      Company Name FORMTEXT      Street Address FORMTEXT      Mailing Address FORMTEXT      City/State/Zip FORMTEXT       SSNName of Representative1. FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT      4. FORMTEXT       FORMTEXT      5. FORMTEXT       FORMTEXT      6. FORMTEXT       FORMTEXT      7. FORMTEXT       FORMTEXT      8. FORMTEXT       FORMTEXT      9. FORMTEXT       FORMTEXT      10. FORMTEXT       FORMTEXT      11. FORMTEXT       FORMTEXT      12. FORMTEXT       FORMTEXT      13. FORMTEXT       FORMTEXT      14. 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FORMTEXT       FORMTEXT      16. FORMTEXT       FORMTEXT      17. FORMTEXT       FORMTEXT      18. FORMTEXT       FORMTEXT      19. FORMTEXT       FORMTEXT      20. FORMTEXT       FORMTEXT       Total number of representatives ___ FORMTEXT      _____ (@$20.00 per representative) = total fee due and enclosed. $__ FORMTEXT      _____ Failure to remit total fees due will result in return of applications Please attach all appointments to this Summary For Department Use Only      Motor Club Representative Summary Revised 04/11 Page  PAGE 1 of 1 Mailing Address P.O. 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