Associate Member Application Payment DetailsThis information is requiredASSOCIATE MEMBER APPLICATION DUES* Price: $395.00 Subsidiaries Check here if you have subsidiaries to your parent company that you would like to add. We will contact you for the information. Each additional listing is $65.00. Subsidiaries* Price: $65.00 Business NameContact Name* First Last Title*WebsiteEmail* Phone*Primary Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Hours of Operation Per Day*Category*Select one that best describes your businessAccounting / FinancialAdvertising / Promotions AssociationBakery ProductsBeerBeverages (Alcoholic) Cash Registers / Supplies Chemical / Clean SuppliesCoffee, Tea, Hot ChocolateComputers / SuppliesConstruction / Design ConsultantsConsultants - Foodservice Consultants- Menu / Nutrit.Convention & Visitors Bur.Credit Card ProcessingDairy ProductsDistilleriesViral Marketing - (Email, Internet, Online Video) Exhaust System CleaningFood BrokersFood ManufacturerFoodservice DistributorsFranchise DevelopmentFrozen FoodsGift Cards - ElectronicGourmet FoodsGrease RemovalGrease Trap ServiceHood CleaningHospitality Profit SolutionsHVACIce CreamIce Machines / DispensersInstitutional Foods InsuranceKentucky ProductsLegal ServicesLinensMarketingMeatsMusic LicensingMystery ShoppingOil Micro- FiltrationPaper ProductsPavement / Parking LotsPayroll ProcessingPest ControlPizza SuppliesPlumbingPoint of Sales EquipmentPoultryPrintingProducePublicationsReal Estate / AgentRecyclingRestaurant Equip & SupplyRestaurant Equip Parts SeafoodSecurity / Alarm SystemsSoft DrinksTelecommunicationsUniformsWaste Removal ServicesWine/Spirits WholesalersDescription Of Your Business To Be Used On The Website*Membership Status*New MemberRenewalBilling DetailsThis information is requiredTo the Board of Directors: I submit my application for membership in the Kentucky Restaurant Association.Signature*Date* Date Format: MM slash DD slash YYYY Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secure Credit Card Card Holder* Card Number* Card Expiration* Card CVV* Total $0.00 CAPTCHA