How to Join FCCC

Please print this form and provide the information requested. Checks should be made payable to the Fairfield Community Coordinating Council and mailed with the completed form to: 

FCCC
c/o Fairfield County First Steps

P.O. Box 215
Winnsboro, South Carolina 29180

 

Membership Year: 
January 1, 20____ to December 31, 20____

 

Membership Category:

___Organization/Agency ($25 annual dues)

___Individual ($5 annual dues)

 

Current Membership Status:

___Continuing Member

___Former Member

___New Member

 

Name of Organization or Individual:

_______________________________________________________

 

If Organization, name of Main Contact Person:

_______________________________________________________

 

Mailing Address: ________________________________________

_______________________________________________________

 

Email Address: __________________________________________


Daytime Phone: ________________ Fax: _____________________