Date:
Start Date:
Name:
Address:
Company:
Type of Business:
Phone:
Email:
Cell #:
Signature:
Do you need a Letter for Horry County Business License?
YesNo
Do you wish to have a private mailbox in the vestibule?
YesNo (requires a $50 key deposit)
Are you wanting Confidence, LLC to be your SC registered agent?
Please upload a copy of your driver’s license or other photo ID and one additional form of ID:
Please complete all fields. You may cancel this authorization at any time.
Credit Card Type:
MasterCardVISADiscoverAMEXOther
Cardholder Name (as shown on card):
Card Number:
CVA:
Expiration Date (MM/YY):
Cardholder ZIP Code (Billing Address):
I, , authorize Myrtle Beach Business Center’s Agent to charge my Credit Card above for monthly V.O. plan fee, $100 setup fee, V.O. plan Security deposit, key deposit if given and a 3% convenience fee to cover credit card processing cost.
Customer Signature:
