Joplin Area Chamber of Commerce Young Professionals Network Name: ______________________________________ Age: _____________ DOB: _____________________ Company: ___________________________________
320 East 4th Street Joplin, MO 64801 (P) 417.624.4150 (F) 417.624.4303
Address: ____________________________________
Joplinypn.com
Preferred e-mail:_____________________________
Facebook.com/joplinypn
Alternate email:______________________________ email: info@joplincc.com Preferred phone:______________________________
417.624.4150
Cell Phone:___________________________________ Cell Phone Carrier:_____________________________ Referred by:__________________________________ Membership Type Chamber Member $60 annual dues + $10 enrollment fee Non-Member $70 annual dues + $10 enrollment fee
MISSION: To connect, develop and empower young professionals to lead our community with service, education, social and educational events and programs.
Credit Card #:____________________________________ Expiration Date:________________CVN:______________ Name on Card:___________________________________ Billing Address:___________________________________ Zip Code:________________ By joining the JACC Young Professionals Network you authorize YPN to send you communications via email and text alerts. You may update your communication preferences at any time at joplinypn.com
YPN is presented by: