Member Application
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
*
Email:
*
Business Description (200 char max):
Directory Category:
*
--- Select Primary Category ---
Accommodations-Condos/Bed & Breakfast
Accommodations-Hotels/Resorts
Accommodations-Time Share Resorts
Accommodations-Vacation Rentals
Accounting
Activities
Acupuncture
Adult Residential Care
Advanced Materials
Advertising, Public Relations
Aesthetic Medicine
Agriculture
Agriculture Resource Management
Air Conditioning/Refrigeration
Air Tours
Airlines, Air Cargo/Freight
Architects, Planners, Designers
Art Galleries/Artists
Attorneys
Audio Video Equipment & Home Theatre Installation
Audio Visual Services & Rentals
Auto/Truck Parts, Repairs & Tires
Automobile Body Shops
Automobile Dealers & Sales
Automobile Renting & Leasing
Beauty, Health & Spa Services
Beverage/Wine/Spirits Distributor
Boats, Cruise/Charter
Building Material/Supplies
Business Brokers
Business Consultants/Services
Carpet Cleaning Services
Carwash
Catering Services
Chemicals/Compound
Chiropractor
Cinema
Computer Support
Computers
Consultants
Contractors-Building/General
Contractors-Electrical
Contractors-General/Engineering
Contractors-Landscaping/Maintenance
Contractors-Paint & Manufacturers
Contractors-Roofing
CPR Education & Training
Dairies, Dairy Products
Dentists/Dental Groups
Designer/Custom Jewelry & Artwork
Disc Jockeys
Distributors/Wholesalers
Electronics
Employment & Training
Engineers, Surveyors
Engraving/Trophies/Awards
Entertainment
Environmental Services
Escrow/Title Service
Event Planning/Coordination
Financial Institutions
Financial Planners
Flooring
Food Products & Supplies-Wholesaler & Manufacturers
Food Truck
Galleries & Lifestyles
Glass, Glazing, Window Services
Golf Courses
Government Services
Graphic Designers
Handyman Services
Hauling/Trucking
Health & Fitness Center
Health & Fitness Consultants/Trainers
Health & Medical Insurance Plans
Health & Wellness Counseling
High Technology Systems
Hospitals, Medical Clinics
Hospitals, Nursing Facilities
Ice Cream, Frozen Desserts & Coffee
Individual Member
Information Security Training
Insurance
Internet Solutions
Investigators/Services
Investments
Janitorial Maintenance Service/Supplies
Laundry & Dry Cleaners
Locks & Locksmiths
Manufacturers
Massage Therapist/Alternative Health Care
Media - Sports
Mortgages
Motorcyles-Dealers & New
Non Profit Organization
Notary Public
Nurses & Nurses' Registries
Office Furniture-Supplies
Organizing Service
Pest Control
Petroleum Products
Pharmacy
Photographers-Equipment/Processing
Photographers-Galleries
Photographers-Special Occasions
Physicians & Surgeons
Printers
Promotional Products
Psychiatrists
Publishers
Radio
Real Estate Development/Sales
Real Estate Management/Rentals
Real Estate Sales//Rentals
Real Estate-Commercial
Renewable Energy
Rent Service
Research and Contracting
Restaurants/Food Service
Retail
Retail Furniture/Upholstry Accessories
Retail-Bookstore
Retail-Clothing
Retail-Department Stores
Retail-Grocers
Retail-Home Improvement
Retail-Jewelry
Retail-Wines
Schools
Schools-Dance/Art/Music
Security Guard Services/Burglar Alarms
Self Storage
Services - Plumbing
Shared Workspace
Shipping Services
Shopping Center
Shopping Centers
Sign Companies
Sound Systems & Equipment
Steamship & Marine Services
Stock Brokers
Surfing Instruction
Taxi Cab Services
Telecommunications
Tour & Travel
Towing Services
Utilities-Public
Valet & Parking Management
Video Film Productions
Visitor Attraction
Wastewater/Water
Water & Fire Damage Restoration
Water-Purification/Filtration/Bottled
Website Design & Development
Wedding Consultation & Services
Window Cleaning
Employees:
*
Full-time
Part-time
Business Keywords (enter a space between words):
Comments / Questions:
Who referred you?:
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Social Networking:
LinkedIn
Facebook
Primary Contact Information
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Social Networking:
LinkedIn
Facebook
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Social Networking:
LinkedIn
Facebook
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
Business Membership
:
$295.00
1-10 Employees
Business Membership
:
$470.00
11-20 Employees
Business Membership
:
$655.00
21-30 Employees
Business Membership
:
$885.00
31-50 Employees
Business Membership
:
$1,145.00
51-75 Employees
Business Membership
:
$1,400.00
76-100 Employees
Business Membership
:
$1,665.00
101-150 Employees
Business Membership
:
$1,870.00
151-200 Employees
Business Membership
:
$2,300.00
201-250 Employees
Business Membership
:
$2,720.00
251+ Employees
Individual Membership or Non-profit
:
$215.00
Restaurant Membership
:
$450.00
Any type of food service
Additional Fees:
Admin Fee
:
$30.00
One time administrative fee
Additional Opportunities:
We will contact you with additional information.
Kauai Military Affairs Support
:
$100.00
For an additional $100, I would like to support the Kauai Military Affairs Council (KMAC). By doing so, I would like to receive news and updates from the KMAC, along with exclusive invitations to Kauai Military and Veterans events.
Payment Option:
Charge my credit or debit card
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