Myrtle Beach Business Center
Date
VO Plan Type
Start Date
APPLICANT NAME
COMPANY NAME
TYPE OF BUSINESS
ADDRESS
PHONE
CELL #
EMAIL
SIGNATURE
Do you need a Letter for Horry County Business License? YesNo
Do you wish to have a private mailbox in the vestibule? (requires a $50 key deposit) YesNo
Are you appointing Confidence, LLC as your SC Registered Agent? YesNo
Date:
Start Date:
Name
Address
Company
Type of Business
Phone
Email
Cell #
Signature (Type your full name)
Do you wish to have a private mailbox in the vestibule? (requires $50 key deposit) YesNo
Are you wanting Confidence, LLC to be your SC registered agent? YesNo
Upload Driver’s License or Photo ID
Upload Additional ID
Credit Card Type MasterCardVISADiscoverAMEXOther
Cardholder Name
Card Number
CVV
Expiration Date (MM/YY)
Billing ZIP Code
Authorization Name
I, [auth-name], 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.
Customer Signature
CEL #
Please complete all fields. You may cancel this authorization at any time.
Credit Card Type:
MasterCardVISADiscoverAMEXOther
Cardholder Name (as shown on card):
Card Number:
CVV:
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. I understand the card information will be kept on file to cover all future monthly fees for my account.
Customer Signature:
