Membership Application

Thank you for your interest in the Kalamazoo Network!

After you complete this on-line application and click submit you will be taken to a secure checkout page through PayPal. You may pay your dues from you checking account or by credit card.

Annual Dues are $45.00. Now accepting dues for the 2008-09 Membership year.

If you would prefer to complete a printed membership application, click here for a PDF Form.


*First Name:
   M.I.  *Last
Street:
City:
   State: Zip:
Home Phone:
  
  Work Phone:
Fax:
     
Cell Phone:
*Email address:
*Confirm Email address:
Business Name:
 or employer
Profession:
Website:
Profession 2:
Website2:
How did you learn about the Network?
*Directory Listing:
You will be cross-referenced in the directory by name and profession.
Committees:
The best way to truly network is to become involved with a committee.
Arrangements Directory
Membership Newsletter
Programs Public Relations
Nominating  
Please check all that sound interesting to you.
Comments:

Submitting this form will take you to a verification page. From there you must click the PayPal button to complete your membership.

*Required Information
Updated: July 5, 2008
Created by: SLF Design