Mercer County Chamber of Commerce
Attn: Brenda Sexton
488 Price Avenue
Harrodsburg, KY 40330
Mercer County Chamber of Commerce Membership Application

To submit your application, complete the form below. You may submit your application one of two ways.

1. Electronically submit your application by pressing the "Submit" button at the bottom of the page. You may mail in your membership dues to the address above.
2. Mail in your application. Fill out the application on your computer, then print and mail in your application and dues to the address above.
Firm Name
Mailing Address

Street Address (if different from
mailing address)

Phone
Fax
E-mail Address
Web Address
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Contact
Title
Category of Business
Number of Employees
Full Time
Part Time
Annual Investment
Select a Payment Method



Signature

Date