To apply for 2008 KMU Associate Membership, please complete the following form.  The form will be emailed from your computer to our system.

A KMU representative will contact you within the following week to confirm.  Should you not receive a phone call or an email within that time, there may have been a problem transmitting the information. If so, please let us know by calling 620/241-1423 or emailing us at kmu@kmunet.org and we can register your company over the phone. Thanks!

Please provide the following contact information:

First Name
Last Name
Title
Company
Street Address
Address (cont.)
City
State
Zip/Postal Code
Work Phone
FAX
E-mail
Web Site

Secondary Contact (to receive complementary copy of KMU newsletter):

First Name
Last Name
Title
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
FAX
E-mail
Web Site

Third Contact (to receive complementary copy of KMU newsletter):

First Name
Last Name
Title
Street Address
Address (cont.)
City
State
Zip Code
Work Phone
FAX
E-mail
Web Site

Sponsorship Level:

KMU Associate Membership - $300
Platinum Package (+ Associate Membership) - $1,500
Gold Package (+ Associate Membership) - $1,000
Silver Package (+ Associate Membership) - $800
Bronze Package  (+ Associate Membership) - $600