Member - Scott City Area C/C, KS

Member Application

We would love to have you as part of our organization. By joining the Chamber, you are not only joining a network of business owners in Scott County and the surrounding area, but also making an investment in your business and in our community. Locally owned businesses return 80% of each dollar back into the community, so please continue to shop local!

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1

Address line 2

Country

City

State

State

State

Postal Code

Mailing Address

Same as physical address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Individual $ 55
Associate Membership

Non Profit/Church/Organization $ 82.50

Home-Based Business $ 82.50
No Store Front

Sole Proprietor $ 137.50
No spouse as partner or employees

1-5 Employees $ 192.50
2 part time employees = 1 full time employee

6-10 Employees $ 275
2 part time employees = 1 full time employee

11 or more employees $ 357.50
2 part time employees = 1 full time employee

Financial Institutions, Utilities, Hospitals, Municipalities $ 550

Additional Options:

Beefiesta Sponsor $150 one time
Support the celebration of our beef industry by becoming a Beefiesta Sponsor. Your sponsorship helps pay for everything needed to have the event and receive 2 winter & 2 summer Beefiesta caps.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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