South Carolina Assumed Business Name Registration Order Form

(Step 2 of 3 ) Complete and Send Your Registration Information

This information is being collected for the purposes of register a New Assumed Business Name in South Carolina for a Sole Proprietorship, according to the provisions of the South Carolina Code.

All orders are made through our secured pages for your protection. We use the same level of security as American banks. This offers you the highest available level of protection.

South Carolina Name Registration
Registration Order Date:
Business Owner Name:
Email address
Name of Business
The Name of the Business is:
Business Activity
The character of the business being, or to be, conducted under such trade name is::
Business Known Place of Business
The street address of the known place of business is:

Business Mailing Address
The mailing address of the business is:

Sole Proprietor Information
Name:
Last Name:
Address:
City:
State:
Zip Code:

Your Credit Card Billing Information

Type of Credit Card:
Credit Card Holder Name:
Credit Card Number:
Credit Card Expiration Number:
Credit Card 3 Digit Verification Number: (the 3 digit verification numbers are the 3 numbers located inside of a square, in the back on your credit card, next to the signature box
Credit Card Billing Address:
Credit Card Billing City:
Credit Card Billing Province/State:
Credit Card Billing Postal Code/Zip Code:
Credit Card Billing Country:
Credit Card Billing Phone Number:


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