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Designation Of Registered Agent For Discount Drug Card Sellers - South Carolina
| Designation Of Registered Agent For Discount Drug Card Sellers Form. This is a South Carolina form and can be used in Miscellaneous Secretary Of State . |
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Office of the South Carolina Secretary of State Designation of Registered Agent for Discount Drug Card Sellers TYPE OR PRINT CLEARLY WITH BLACK INK: Name and address of authorized seller of discount drug card(s): _________________________________ _________________________________ _________________________________ State and date of incorporation of seller if seller is a corporation: ________________________________ Name and physical address of designated South Carolina agent for service: _________________________________ _________________________________ _________________________________ South Carolina mailing address of designated agent: _________________________________ _________________________________ _________________________________ Signature of designated agent: __________________________________ Filing instructions: 1. 2. Two copies of this form, original and either a duplicate original or a conformed copy, must be filed. Must be signed by the designated agent. Secretary of State 1205 Pendleton Street, Suite 525 Columbia, SC 29201 Return to : American LegalNet, Inc. www.FormsWorkFlow.com
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