YPN application 2017

Page 1

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:


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.
YPN application 2017 by Joplin Area Chamber of Commerce - Issuu