2022 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.  

2022 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.
Thanks for joining KAMM!

Up to 10 members
Check all the apply. Please describe the discipline if you checked Other.
Check all that apply
How many staff are to be included in membership. 1 - 10. Complete member information below.
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 want 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.

 

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.

Have questions, contact us at help@kymitigation.org.  

Don’t forget to join the KAMM group on LinkedIn, Twitter and Facebook.