2017 Agency Member – Pay by Check

KAMM membership is based on the calendar year, starting January 1.

Agency Member Registration is a group registration for an agency or organization that shortcuts the process of registering each person individually as a KAMM member.  Have questions, contact us at help@kymitigation.org.

 

2017 KAMM Membership - Agency/Organization - Pay by Check

The Agency Registration group payment is for public and private agencies or organizations, up to 10 people. Everyone registered will receive an e-mail confirmation from KAMM.

Please complete the following form and list staff who will be included in the membership, up to 10 members. All required fields are marked with an asterisk.
You will be receive an auto-confirmation for KAMM Agency Membership. Please print the auto-confirmation / invoice and mail a check written to KAMM.

Up to 10 members
All agency members will receive an auto confirmation. Would you like an auto-confirmation invoice delivered to someone else in the agency?
Please add comment in Other
Check all the apply. Tell us about any Other disciplines.
How many staff are to be included in membership. 1 - 10. Complete member information below.
Check all that apply
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
First name of the KAMM Member
Last name of the KAMM Member
Add anything you need KAMM to know.
Check the box
You will be receive an auto-confirmation for KAMM Membership. Please print the auto-confirmation / invoice and mail a check written to KAMM. KAMM, PO Box 1016, Frankfort, KY 40602-1016. Please note the KAMM members name on the check.

 

You will be receive an auto-confirmation for KAMM Membership.  Please print the auto-confirmation / invoice and mail a check written to KAMM.   KAMM, PO Box 1016, Frankfort, KY 40602-1016.  Please note the Agency name on the check.

Don’t forget to join the KAMM group on LinkedIn.