Please choose a membership level and complete the required (*) fields below. Chamber Membership*A membership with the Northeast Kansas City Chamber of CommerceIn Home Business/ArtistK-12 School/Church0-4 employees5-10 employees11-20 employees21+ employeesMembership Level TotalThe price below is the total cost of membership for one year. $0.00 Business*Please enter the name of the business associated with the Business CategoryPlease select a category that best represents your business or organization.Accounting/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/LogisticsOtherIs the business address the same as above?*Is the business address the same as the contact person's address?YesNoContact InformationThe fields below will be associated with your membership and used for contact purposes.Contact Name*Please enter the contact person for this business or organization. First Last Title*Please enter the title of the contact person listed above.Contact Phone*Please enter the phone number of the account contact.Address*Please enter the address of the contact person for this business or organization. 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 Email*Please enter the E-mail of the business. Enter Email Confirm Email Public InformationThe fields below will be displayed to visitors to the membership directory on our website.Business Organization AddressPlease enter the address of the business or organization. Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please enter you're organization's contact phone number.FaxPlease enter the fax number of the business.WebsitePlease enter the website address of the business. Website must be in the following format: http//:nekcchamber.com Twitter ProfilePlease enter the Twitter handle/username of your business or organization if applicable.Facebook URLPlease enter the Facebook URL of your business or organization page if applicable. Business LogoPlease upload an image of your logo or business if applicable. (Recommended size: width: 225px; height: 150px) 16MB LimitAccepted file types: jpg, gif, png, tiff.IntroductionPlease write a welcome with a brief introduction 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.
