Join

NEJC Chamber Membership Application

Thank you for your interest in the NEJC Chamber. If you would like more information on membership please contact Stoney Bogan at stoney@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.

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:
Members-only Account Login
Members-only 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:
 
Billing Contact
 
Investment Schedule
Full Time Employees
Amount
1-5
315.00
6-10
345.00
11-50
380.00
51-100
510.00
101-150
570.00
151-200
660.00
201-300
860.00
301-400
1,050.00
401-500
1,315.00
501-750
1,935.00
751-1000
2,575.00
1001+
3,190.00
$315.00
$205.00
$800.00
$420.00
$700.00
$175.00
Processing Fee:
$30.00
Total:
$0.00
Questions? Please contact Stoney Bogan at stoney@nejcchamber.com or 913-262-2141.
Security Code:
Please enter the security code above.
  
Powered By CC-Assist.NET