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NEJC Chamber Membership Application

Thank you for your interest in the NEJC Chamber. If you would like more information on membership please contact our office at info@nejcchamber.com or 913-262-2141. If you are ready to join, please complete the following application. To view our member investment schedule please click here.

 

For information on Developer Memberships or Corporate Sponsorships, please contact Deb Settle at dsettle@nejccchamber.com or 913-262-2141 

  
Company Information
Company:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip:
*
Phone 1:
*
Phone 2:
Fax:
E-mail:
*
Website:
Bus. Category 1:
Full-time Employees:
*
Part-time Employees:
Create Member Account Login
Your member account allows you to update your information online via a secure login.
Admin E-mail:
*
Password:
*
Verify Password:
*
Contacts
Primary Contact
Prefix:
First Name:
*
Last Name:
*
Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
Username:
*
Password:
*
Verfiy Password:
*
 
Billing Contact
 
Investment Schedule
Full Time Employees
Amount
1-5
350.00
6-10
380.00
11-50
420.00
51-100
565.00
101-750
1,290.00
751-999
2,855.00
1000+
3,540.00
$350.00
$225.00
$890.00
$465.00
$745.00
Processing Fee:
$30.00
Total:
$0.00
Questions? Please contact our office at info@nejcchamber.com or 913-262-2141.
Security Code:
Please enter the security code above.
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