Kernville Chamber of Commerce On-line Membership Application Printable PDF Version Here
To better serve your needs, please complete entire form: Subject: Membership Application Membership Type: Membership Type Business Affiliate Retired Senior over age 60 ( If Affiliate select category ) Affiliate Category Visitor Weekender Non-Profit Individual Dues Structure: Business: $100Affiliate: $50Retired Senior: $25 Remit to: Kernville Chamber of Commerce ~ P.O. Box 397 ~ Kernville, CA 93238-0397 Business or Organization Name: Goods & Services Category: Contact Name: Physical Address: City:Zip: Mail Address: City:Zip: Complete E-mail Address: Business Phone Number: Home Phone Number: Fax Number: Cel Phone: Best Time to Call: Any Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time: am pm ( If respond via phone ) Committee Interest: Visitor & Tourism Relations Event Logistics Hospitality Parks & Recreation Membership Civic Improvements Marketing Public Relations Finance Emergency Preparedness Event Interest: Whiskey Flat Days Whitewater Wednesday Rodeos Christmas Candle Stroll Rod Run Put us on email list : No Yes ( You may opt out at any time ) If no, select notification preference Phone Fax Snail Mail How did you hear about us: Canyon Connection Link Kernvalley.com Link Brochure Search Engine Friend Other Message or Comments:

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