Call Jolinda Young with questions at 816-221-2424 or email youngj@kcchamber.com

Business Name

Address

City, State, Zip

Phone/Fax

Primary Contact (CEO)

Secondary Contact (Title)

Number of Employees

X dollar amount per employee
(SEE Investment Schedule Below)

equals (total)

Plus $25 initiation fee ________

GRAND TOTAL

Referred by

Authorizing Signature/Date

General Classification (check only one)

_____ A. Local _____ B. Headquarters _____ C. Branch ____ D. Regional

Home Office Address

Executive Officer

Date Company Established

Business Classification (check one)
___1. Retailers
___2. Wholesalers & Distributors
___3. Manufacturers & Processors
___4. Banks/Savings & Loans
___5. Hotels/Motels
___6. Insurance
___7. Real Estate
___8. Professional
___9. Construction
___10. Publishers & Printers
___11. Financial: Investment/Finance Companies
___12. Radio & Television
___13. Automobile
___14. Public Utilities
___15. Transportation
___16. Services
___17. Amusement/Entertainment
___18. Diversified
___19. Restaurants

Type of Business: (Use Yellow Pages Category)

What made you decide to join the Chamber (Check all that apply)?
___ Networking opportunities
___ Having a stronger voice in government
___ Civic duty
___ Learning ways to improve my business
___ Visibility in the business community
___ Other (please specify)

Is there anyone you would like to refer for Chamber membership?

Please send me more information on: (Check all that apply)
___ CEO Roundtable
___ Economic data
___ Publications order form
___ Total quality management
___ Environmental issues
___ Drug-free workplace
___ Small Business seminars
___ Success Kansas City Style seminars
___ Government affairs programs
___ Centurions Leadership Training
___ Membership directory advertising
___ Internet sponsorship opportunities
___ Metropolitan Entrepreneurs Council
___ Chairman's Club Membership Committee for Volunteers

NOTE: $25 of your annual Chamber investment is applied toward a subscription to the Kansas Citian

Investment Schedule
The cost of membership is calculated by type of business, number of employees and role within the area economy. Members are expected to adhere to the following formula, developed by the Board of Directors.

Calculating Your Investment
The base or minimum membership cost is $400 annually, plus a one-time initiation fee.

Step 1. Locate the appropriate schedule for your type of business - see below. Figure your investment by the formula specified. Employee count should reflect the number of full-time equivalent, permanent employees in the metropolitan area. (Two half-time employees equals one full-time, etc.) Seasonal employee calculations should be based on average employee number.

Step 2. Headquartered firms, add 20 percent to your total investment.

Step 3. Companies falling between $1,000 and $4,999, add an additional five percent. Companies at $5,000 or more should add 25 percent, by request of the Board of Directors.

Not-For-Profits
Not-For-Profit organizations may invest half the calculated investment but a minimum of $400.

NOTE: Investments may be tax deductible as a necessary business expense but are not deductible as a charitable contribution. However, 25 percent of the investment is non-deductible lobbying expense.

Schedule A
$400 + $10 per employee over 9, up to 200 employees + an additional $3 per employee over 200

1. Retail
2. Wholesale & Distributors
3. Manufacturer & Processors
9. Construction
10. Publishers & Printer
12. Radio and Television
15. Transportation
16. Service
17. Amusement & Entertainment
18 Diversified

Schedule B
$400 + $5 per employee over 2

5. Hotels & Motels
13. Automotive
19. Restaurants

Schedule C
$400 + $15 per employee over 2, up to 200 employees + an additional $5 per employee over 200

6. Insurance
8. Professional
11. Financial: Investment & Finance Companies

Real Estate Schedule
A. Commercial $400 + $25 per employee over 2
B. Residential $400 + $17 per employee over 2

Banks/Savings & Loan Schedule
$400 + $25 per employee over 2, up to 1,000 employees + an additional $4 per employee over 1,000

Public Utilities Schedule
$400 + $20 per employee over 2, up to 1,000 employees + an additional $4 per employee over 1,000

Brought to you by the
Greater Kansas City Chamber of Commerce,
its members, and kansascity.com.
email chamber@kcity.com