Kernville Chamber of Commerce
On-line Membership Application
Printable PDF Version Here

To better serve your needs, please complete entire form:
Subject:
Membership Type: ( If Affiliate select category )
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: 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
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