Membership Application

Step 1: Membership Type

Membership Type

Associates

Organizational Memberships are allowed an unlimited amount of associates. Primary Memberships have one Associate for free. Each additional Associate cost $175.00 ea.

Step 2: Chamber Details

Organization Name

Phone

Billing Address

Address

Apt., Unit, Etc.

City

State

Zip

Step 3: Individual Information

Step 4: Billing and Approval

Preferred Payment Option

I’d like to pay via credit card I’d like to pay via check

An invoice will be emailed to you to pay online

If paying by check, please make payable to ASCP and return to:
ASCP
6320 Theden Street
Shawnee, KS 66218

Organizational
Primary
Employee(s)

Estimated Price