Carolinas Food Industry Council Retail Dues Form

Grocer Member Dues Form

Fill out form below to pay Membership Dues on-line. If you are paying by check, please click here to download dues form in Adobe PDF.


Company:
Invoice Contact :
Title:
Address:
City:	State:	Zip
Phone:
Fax:
E-mail:

Annual Dues Schedule
$30 per store in North Carolina and South Carolina
	Number of North Carolina Locations
	Number of South Carolina Locations
Total number of locations: x $30 = $

Payment Options
Credit Card Type:
Name as on CC:
Card Number:
Card Exp. Date 00/00
Card Security Code
Yes, I give CFIC persmission to charge my Credit Card for Retail Dues.
Enter Total to be charged:	$

Included is a $20 subscription to The ExpressLine, your link for timely and useful information. Grocer dues are tax deductible as a business expense, but not as a charitable contribution. Under federal law, 35% of your dues are allocated to lobbying (non-deductible), 65% are deductible.

Carolinas Food Industry Coun