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Kentucky
Tourism Council Membership Application
Date____/____/______
Referred by ___________________________________________
Name ________________________________________________
Title _________________________________________________
Business or Organization
__________________________________
Address_______________________________________________
City____________________________ State______ Zip
________
Phone ______________________ Fax ______________________
E-mail________________________________________________
Web Site ______________________________________________Please enroll me under the following category:
(
) $50—Student, Extension Agent or
Individual
(
) $75—Retail Business with up to 3
employees
( ) $85—First-time
Membership for One Person. Attraction, Campground, Festival, Local
Government Agency, Restaurants less than 100
seats/Hotels-less than 100 rooms
(
) $110— First-time Membership for One
Person. Area Development Districts, Car
Rental, Chamber of Commerce, Educational Institution,
Tour Operator, Travel Agent, Restaurants with over 100
seats, Hotel with over 100 rooms
(
) $135—Matching Funds Regional
Representative
(
) $220—Convention Center/State and
Regional Associations
(
) $330—Allied/Supplier
(
) $440—State Government Agency
Tourist
Commissions & CVB’s
/x-tad-smaller>/smaller>
( ) No Paid staff $100 -One Member
( ) One Employee $175 -One Member
( ) 2-4 Employees $375 -Up to 4
Members
( ) 4-6 Employees $575 -Up to Six
Members
( ) 6-8 Employees $775 -Up to 8
Members
( ) 8-10 Employees $975 -Up to 10
Members
( ) 10 or more Employees $1,200 -Up to 12
Members/x-tad-smaller>
For more information, call (502) 223-8687.
A check for $_________ payable to the Kentucky
Tourism Council is enclosed.
Please charge my membership to ( ) Visa ( ) Mastercard
Account #__________________________ Exp.
date____________
Authorized Signature
_____________________________________
Return by mail to:
Kentucky Tourism Council
612 B Shelby Street
Frankfort, Kentucky 40601
Or fax to (502) 223-5646
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