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 your checking account or by credit card.

Our membership year runs from July 1st through June 30th of the following year. Annual Dues are $45.00.

New members joining between January 1st and June 1st are prorated to $25.00 for membership through June 30th.

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:
The best way to truly network is to become involved with a committee.
*Committees:
Arrangements Newsletter
Membership Public Relations
Programs Undecided
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: January 9, 2012
Created by: SLF Design