KAM Prospective Member Form - Kentucky Association of Manufacturers

KAM Prospective Member Form

Thank you for your interest in joining the Kentucky Association of Manufacturers. Please complete this form to help us learn more about your company. Your annual membership investment will be determined following a review of the information you provide and a discussion of your specific interests and needs with a member of our team.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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Organization Contact Information

Organization *

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Main Contact

First Name *

Last Name *

Title *

Phone *

Email *

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Company Information & Interests

Business Description

Please provide a brief description of your business.

Number of Full-Time Employees/Equivalents *

Gross Annual Revenue *

Type of Company *

Our company is interested in (select all that apply):

Automotive Council

Chemistry Council

Defense and Aerospace Council

Legal Affairs Council

Workforce Council

Policy Events

Networking Events

Health Insurance

Workers' Comp Insurance

Other Member Savings Programs