2024 KAMM Membership Pay by PayPal

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 Credit Card

You are required to complete the credit card transaction information on PayPal or your credit card. When your credit card transaction is complete, you will receive an e-mail confirmation receipt. If you do not receive a receipt from PayPal, then your credit card payment did not go through. You'll need to register again. Have questions, contact us at help@kymitigation.org.

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