Membership Application Name of Business / Company* Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Company WebsiteContact Name* Contact's Title* Email* Membership InformationType of Membership*Business LevelsNon-Profit LevelIndividual or Other LevelsNumber of Employees*1-4 ($350 annually)5-10 ($400 annually)11-20 ($450 annually)21-49 ($575 annually)50-100 ($750 annually)100+ ($1,000 annually)Non-Profit Levels*Budget up to $1M ($400 annually)Budget up to $5M ($500 annually)Budget up to $7M ($750 annually)Budget up to $10M ($1,000 annually)Individual or Other Levels*Retiree ($60 annually)Student ($35 annually)Executive ($150 annually)School District ($500 annually)Municipality ($1500 annually)Type of Business / Industry*New MembershipRenewal MembershipHispanic OwnedWoman OwnedMinority OwnedCurrent MemberOtherAcknowledgements*By submitting this membership form, I acknowledge my interest in becoming an official member of the Hispanic Chamber of Commerce of Greater Kansas City, and agree to promptly pay an invoice for the price listed above once sent to the email provided. I Agree CAPTCHA