Rockcastle County, Kentucky

On-Line Application
Identification and Contact Information
FULL Name:
Company Name:
Your title:
Address:
Address #2:
City:
State:
ZIP:
Telephone #:
Fax #:
Email Address:
Website:
In Business Since:
Primary Contact:
His/Her Title:
Type of Business:
Number of Employees
Full Time:
Part Time:
Membership Dues:
Financial Institutions	$500.00
Professional Firms (Doctors, Lawyers, Accountants, Insurance Agencies, Real Estate Agencies)	$150.00
Motels, Hotels, Mobile Home Parks, Apartments, Rentals	$170.00
Bread and Breakfast Establishments	$100.00
Local Agencies	$100.00
Utility Companies	$400.00
Individuals	$50.00
Amount of Dues you Owe:

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Rockcastle County Chamber of Commerce
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