SOUTH
CAROLINA COUNCIL ON ADOPTABLE CHILDREN
MEMBERSHIP FORM
SC COAC is a non-profit 501-© (3) organization, which has been organized to bring together adoptable children with permanent families through education, support, and advocacy.
We need your support. SC COAC must have a strong membership base to effectively continue its work on behalf of children who wait.
All members receive The Bridge quarterly and a discount on conference registration fees.
I (We) would like an individual/family membership:
$30 – annual $45 – Premier Membership (includes COAC T-shirt) Size
$125 – three-year
We want an organizational membership:
$135– annual $275 – three year
Name(s)
Address:
City: State: Zip:
Phone: E-Mail:
To help us become well acquainted and to allow us to be of
support and assistance, please share some
information with us. List children, if any, noting how they
entered your family (adopted or biologically),
birthdates, age at arrival,
placing agency/source and special needs, if any.
Are you currently waiting placement of a child? Yes No
If so, what age? Number of children
Special needs:
Agency/source:
Are you interested in service as a COAC volunteer? Yes No
If so, what are would you prefer to help with?
Office/Administrative Newsletter Fund Raising
Computer Skills Public Speaking Grant Writing
Bulk Mail Working with groups Other ___________________________
Other
RETURN THIS FORM TO:
SC COAC
2005 Hampton St. suite F
Columbia, SC 29204