Kenosha Area Chamber of Commerce

Celebrating Kenosha's Commerce for 90 Years!

Kenosha Area Chamber of Comerce

600 52nd Street, Suite 130

Kenosha , WI , 53140 United States

(262) 654-1234

Kenosha WI chamber of commerce

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Membership Application

Business/Organization Name
Street Address
City
State
Zip
Phone
Fax
Web Address
E-mail
	Branch/Sales Office Corporate HQ Home Based Regional HQ Other
Date Established
Total Full-Time Employees (local)
Total Part-Time Employees (local)

BILLING ADDRESS (if different from above):
Street Address
City
State
Zip
Email Address (if prefer a renewal statement via email)

CONTACT INFORMATION
CEO/President/Owner
Title

Chamber Representative (Will receive all Chamber communications)
Name
Email

BUSINESS DESCRIPTION (50-100 words) (Include keywords for our online directory)

Would you like to be contacted regarding:
Advertising	Momentum advertising Business Expo booths Newcomers Guide/Map advertising Members Directory advertising Web site advertising
Sponsorships	Chamber sponsor Expo sponsor Networking events Members Directory advertising Web site sponsor
Type of Business	AgricultureCivic Construction Serv.Communication EducationEntertainment FinancialGov. Services Health CareHospitality InsuranceManufacturing Prof. ServicesReal Estate RestaurantRetail TransportationWholesale Other
Buyers' Guide Classification (Use same category as in Yellow Pages)

ACCOUNT INFORMATION
General ($250.00) – Enrolls business to receive general membership benefits including a listing in the annual Business Directory, searchable listing on our web page, discounts on KACC events and programs and receive all mail and digital communications. Civic ($125.00) – Enrolls charitable group, service club, religious institution or individual not affi liated with a business to receive general membership benefi ts. Associate ($50.00) – Enrolls current or retired employee of a member business to be individually listed in Chamber publications and receive all Chamber communications directly.
Credit Card Number
Credit Card Name
Credit Card Expiration Date	/