MEMBERSHIP FORM

Thank you so much for the opportunity to serve you and your business as a partner in both community and economic growth.  As a member, we want to ensure that you find value through our continued partnership.  We are here for your BUSINESS!

Please take a few minutes to complete the form below.  Once you have determined your level of partnership, please deliver directly or mail check to: KAP, 101 North Natchez Street, Kosciusko, MS 39090. (Make checks payable to KAP)

Once we have received your check, we will process your form immediately to begin promoting your business to the world.


For questions or issues with the form, please call 662-289-2981.