To maximize our value to your organization, complete the following online application or download a faxable form. Your responses will enable us to activate your company’s official Kentucky Chamber membership file.

Kentucky Chamber Membership Application

Contact name

Title

Organization

Address
Phone Number

City

State

Zip code

E-mail

Web site

Number of
employees

Four-digit
SIC Code (What's this?)

Parent company

Primary line of
business
 
Areas of Interest
Human Resources    
Environment    
Tax/Fiscal Policy
Political Education    
Education    
Workers' Compensation
Economic Development    
Health Care
Small Business

Government/Public Affairs Contact

Name

Title

Human Resources Contact

Name

Title
Finance Contact

Name

Title
Safety/Environmental Contact
Name
Title
Marketing Contact
Name
Title

Number of employees

 
A Kentucky Chamber membership representative will follow up with you to complete the process. Thank you for your time and interest in our organization.