BCNAA Membership Form Learn More Visit Apply Department Contact 1600 Harden StreetColumbia, SC 29204 803-253-5000 Office Hours 9:00AM - 5:00PM Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Class Year* BCNAA Membership Annual Quantity Price: $25.00 Quantity BCNAA Annual MembershipBCNAA Life Member - New Grad Quantity Price: $350.00 Quantity Life Member - New GradBCNAA Life Member Quantity Price: $500.00 Quantity Life MemberAudacity to Dream Sponsorship Packet Quantity Price: $1,000.00 Quantity VIP Seating at ALL events, Signature Recognition in BCNAA Brochures, BC Website ListingAudacity to Dream Sponsorship Packet with Spouse Quantity Price: $1,325.00 Quantity VIP Seating at ALL events, Signature Recognition in BCNAA Brochures, BC Website Listing (includes spouse)Other/Donation (Enter amount) Notes/CommentsProcessing Fee $0.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name