Membership Application Please choose a membership level and complete the required (*) fields below. NEKCC Membership* Price: $0.00 A membership with the Northeast Kansas City Chamber of CommerceMembership Level*In Home Business/ArtistK-12 School/Church0-4 employees5-10 employees11-20 employees21+ employeesPlease choose the appropriate membership level determined by the type of business or organization that you have.Business*Please enter the name of the business associated with the Business CategoryAccounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherPlease select a category that best represents your business or organization.Contact InformationThe fields below will be associated with your membership and used for contact purposes.Contact Name* First Last Please enter the contact person for this business or organization.Title*Please enter the title of the contact person listed above.Phone*Please enter the phone number of the business.FaxPlease enter the phone number of the business.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter the address of your business or organization.Email* Enter Email Confirm Email Please enter the E-mail of the business.Public InformationThe fields below will be displayed to visitors to the membership directory on our website.Website Please enter the website address of the business. Website must be in the following format: http//:nekcchamber.comTwitter ProfilePlease enter the Twitter handle/username of your business or organization if applicable.Facebook URL Please enter the Facebook URL of your business or organization page if applicable.Business LogoAccepted file types: jpg, gif, png, tiff.Please upload an image of your logo or business if applicable. (Recommended size: width: 225px; height: 150px) 16MB LimitIntroductionPlease write a welcome with a short intro about your business or organization.Total $0.00 After clicking the submit button you will be transferred away from the NEKCC website and to PayPal to complete payment. This iframe contains the logic required to handle AJAX powered Gravity Forms.