wKREDA Membership Application
2009

DATE:____________

Name: ____________________________Title: ____________________________

Firm: ______________________________________________________________

Address: ___________________________________________

Mailing Address: _____________________________________

City: ____________________ State: _____ Zip: _________

Phone: ________________ Fax: ________________ Cell:_________________________

Email: _____________________________________________________________  

Website:                                                                                                                      

Please provide a separate application for each individual joining the organization

Committee Service: (Choose at least one)

Business Development _____ Government Affairs_____ Dairy Team _____

Education _____ Public Relations_____ We Have Jobs_____

western Kansas Rural Economic Development Alliance
2009 Membership Invoice

Non-Voting Membership $100 (minimum for individuals or organizations) $_______

Basic Membership $200 (voting membership plus all services and link on website) $_______

Mid-level Membership $350 (basic services plus all leads from the workforce initiative) $______

Business Development Membership $850 (basic & mid-level services plus all leads generated from trade shows) $_______

Total Amount Remitted $_______

Please Remit To:
wKREDA
Nikki Pfannenstiel, Treasurer
PO Box 980

Hays, KS 67601

Phone: 785.623.3334     Fax: 785.623.3395