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KCMN Membership Application

First Name

Last Name

Primary Contact Email

Primary Contact Phone

Company

Address, City State, Zip Code

Industry/Product

NAICS Code

Please share any other information you would like us to know about your company

How did you hear about KCMN?

Thank you for your application. We will be in touch shortly with next steps.

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Dana Gonnerman, Executive Director

dgonnerman@kcmn.org

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