New Membership Application (PHA or Vendor)

Membership Year October 1st - September 30th

Click here to renew an existing membership (you will be redirected to the member login if you are not already logged in)

If you prefer to pay by check, please complete this online form, then at the bottom of the form click Print Application instead of Proceed to Payment to print out your application to mail in with your payment.

If mailing:
CCHRCO Treasurer Anne Burroughs
c/o Marion HA
PO Box 214
Marion, SC 29571-0214

I am applying for the following membership:*

Amount Due

Primary Contact First Name *

Middle Name

Last Name *

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Agency/Company

Physical Address *

City *

State *

ZIP Code *

Mailing Address *

City *

State *

ZIP Code *

Organization Phone *

Fax

Website *

If you do not have a website, please enter "none"

Email Address *

Confirm Email Address *

Contact Cell *

Please enter "0" if not providing

Public Housing Program: # of Units *

Enter N/A if not applicable

Voucher Program(s): List all voucher types and numbers of each. (VASH, PBV, Mainstream, FYI Initiative) *

Enter N/A if not applicable

Support Services/Programs: List all (MTW, Jobs Plus, ROSS, FSS, Homeownership) *

Enter N/A if not applicable

Affordable Housing # of units *

Enter N/A if not applicable

Section 8 New Construction # of Units *

Enter N/A if not applicable

Primary Contact

Agency Size

PHA Members can list up to 10 additional contacts here

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