2022 KAMM Membership Pay by Check

KAMM Member Email Address *

KAMM member e-address only. You can add someone else below.

Additional Email

In case you want someone else to receive auto-confirmation. No need to add your same e-address again here.

Membership Type *

Individual $25

Student $10

First Time to be a KAMM member *

Yes

No

First Name *

First name of the KAMM Member

Last Name *

Last name of the KAMM Member

Do you have an affiliation?

Federal

State

Local

Professional Discipline *

Check all that apply

Other

Please describe your discipline if you checked Other

Organization *

Please list agency, organization or affiliation

Title *

Address *

City *

State *

Zip Code *

KAMM Member Phone Number *

444 444-4444

What Kentucky County do you work in?

If you work in more than one Kentucky county, please list them all.

What Kentucky County do you live in?

Please skip this if you don't live in Kentucky.

Committee Interests *

Check all that apply.

Payment Method *

Pay by Check

You selected to pay by check for the payment method. Once you submit, KAMM will send a membership auto-confirmation which will serve as your invoice. Print the invoice and send payment to KAMM. Have questions, contact us at help@kymitigation.org.

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KAMM
Ky Association of Mitigation Managers