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STATE MEMBERSHIP FORM
CHECK ONE: q Division B (Grades 6-9) q Division C (Grades 9-12)
Teacher/Coach___________________________________________
School__________________________________________________
School Address___________________________________________
City, State, Zip____________________________________________
School Phone____________________________________________
Home Phone_____________________________________________
E-mail Address___________________________________________
Fees are $90 per team, which includes a $60 national membership fee, as well as a $30 state membership fee.
Please send this form, along with a check for $90.00 payable to the South Carolina
Science Olympiad, to:
Bret Clark, Director
South Carolina Science Olympiad
Newberry College
Newberry, SC 29108
