Membership Application - Northeast Kansas City Chamber of Commerce

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 Commerce

Membership Level*

Please 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 Category

Please select a category that best represents your business or organization.

Contact Information

The 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.

Contact Phone*

Please enter the phone number of the account contact.

Address*

Street Address Address Line 2 City State ZIP Code

Please enter the address of the contact person for this business or organization.

Email*

Enter Email Confirm Email

Please enter the E-mail of the business.

Public Information

The fields below will be displayed to visitors to the membership directory on our website.

Is the business address the same as above?*

Yes
No

Is the business address the same as the contact person's address?

Address

Street Address Address Line 2 City State ZIP Code

Please enter the address of the business or organization.

Phone

Fax

Please enter the fax number of the business.

Website

Please enter the website address of the business. Website must be in the following format: http//:nekcchamber.com

Twitter Profile

Please 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 Logo

Please upload an image of your logo or business if applicable. (Recommended size: width: 225px; height: 150px) 16MB Limit

Introduction

Please 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.