Kansas City, Kansas Women's Chamber of Commerce

Membership Application

Name
Title
Business Represented
Address
City
State Zip Code
Phone
Fax
E-Mail
Home Address
City Zip Code
State
Phone
Birthday: Mo Day
I am willing to receive my monthly newsletter via email (PDF format) Yes_________          No_____________

Your Signature


Annual Dues are $50.00. Please send remittance with application.

As a Women's Chamber member, I'd like to help with...

Standing Committees

___ Bylaws/Resolutions
___ Community/Economic Development
___ Education
___ Finance
___ Historian
___ Long Range Planning
___ Membership/Directory
___ Publicity/Bulletin

Special Projects

___ Scholarship Fundraisers

Ways and Means

___ Scholarship

Women's Chamber of Commerce of Kansas City, Kansas
P.O. Box 171337
Kansas City, Kansas 66117

(913) 371-3165
www.kumc.edu/wcedc/wccchmbr.html