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Join Keokuk County Economic Development
Use this form to submit your information to KCED. We'll review it, collect any missing information and then coordinate your payment. Thank you for your interest in joining KCED!
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Email
*
Your email
Is this a business or individual membership
*
Choose
Business Membership
Individual Membership
What is your name?
*
Your answer
What is your business's name? (Required if applying for a business membership, optional if an individual membership)
Your answer
What is your or your business's address?
*
Your answer
What is the best phone number to reach you at?
*
Your answer
How much are you pledging to KCED? (Minimum of $50 for individual members and $100 for business members)
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Your answer
Will you be paying annually or semi-annually?
*
Choose
Annually
Semi-Annually
When would you like to be billed? (Select one option for annual payment, two for semi-annual)
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January
February
March
April
May
June
July
August
September
October
November
December
Required
Do you understand and agree that contributions to KCED/SADC are not tax deductible as charitable contributions for income tax purposes? They may be deductible as a necessary business expense. Please consult with your tax advisor. KCED/SADC thanks you for your contribution.
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Yes, I agree
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