Join Leadership Owensboro Alumni – Greater Owensboro Chamber of Commerce

Please complete the form to join Leadership Owensboro Alumni.

Name(Required)

First Last

Employer(Required)

Job Title(Required)

Business Address(Required)

Street Address City State ZIP Code

Home Address

Street Address City State ZIP Code

Phone(Required)

Business Email Address(Required)

Alternate Email Address(Required)

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Membership Costs

$50 Annually – You are employed by an organization that is a member of the Chamber.

$100 Annually – You are employed by an organization that is NOT a member of the Chamber.

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Membership Payment

Please check if you would like LOA to bill your employer for membership.

Please check if you plan to pay for your LOA membership on your own.

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Billing Contact/Email Address for Employer:

Do you know someone who might like to join LOA?(Required)

Yes

Please provide us with their name and email address.

Referral Name(Required)

First Last

Referral Email(Required)

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