Dues are $10 per year for individuals, or only $15 per year for your entire family! Business memberships are $25; below, please print both the business name as well as the name of the individual designated to vote on KCA matters.

Name___________________________________________________________________________

Street Address_____________________________________________________________________

Mailing Address____________________________________________________________________

City, State, Zip_____________________________________________________________________

Phone___________________________________________________________________________

Email___________________________________________________________________________

I wish to be contacted _____ by phone _____ by email _____ by postal mail _____ do not contact me

Print this page out, fill in and mail with dues to the address below, or bring to the next meeting. Altenatively, you can download and print out this form, which also contains information about KCA found on this site. This is a great form to hand out to prospective members!