Membership Application

New Member Application

Thank you for your interest in the Lenexa Chamber of Commerce. Please fill out this form completely and click submit. If you have any questions about the Membership Application, please call 913-888-1414.

For our membership pricing structure, please view our Investment Schedule.
Learn about upgrade options available for Enhanced Online Directory Listings.

To print and fax/mail the membership application, please use our Printable Membership Application.

Company Information
Company:
*
Location Address:
*
Address Line 2:
City:
*
State:
*
Zip:
*
Phone 1:
*
Phone 2:
Fax:
Website:
Bus. Category 1:
Bus. Category 2:
$50.00
Bus. Category 3:
$50.00
Established Date:
Full-time Employees:
*
Part-time Employees:
*
To help us serve you better, please tell us why you joined:
Membership Referred By:
Please contact me about the following sponsorship opportunities:
Please contact me about the following involvement opportunities:
Enhanced Listings
Elevate the profile of your online directory listing by upgrading to an enhanced option! View Examples
$50.00
$75.00
Contacts
Primary Contact
Prefix:
First Name:
*
Last Name:
*
Suffix:
Familiar Name:
Title:
E-mail:
*
 
Billing Contact
 
Additional Representative
 
Additional Representative
 
Annual Investment
If your business falls into one of the following special categories please use the investment rate for your type of company. If it does not fall into one of these special categories please use the investment rate for the number of full-time equivalent (FTE) employees in your location counting 2 part-timers as 1 full-timer. Ex: 3 FT + 6 PT = 6 FTE employees so please select the 5-20 FTE employee rate.
$385.00
$995.00
$995.00
$995.00
$850.00
$620.00
$385.00
$995.00
$105.00
$620.00
$995.00
$385.00
$450.00
$505.00
$715.00
$825.00
$995.00
$1,245.00
$2,015.00
$2,385.00
$3,185.00
One-Time Processing Fee:
$25.00
Total:
$0.00
Security Code:
Please enter the security code above.
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