KBC-LEO Membership Form

KENTUCKY BLACK CAUCUS OF LOCAL ELECTED OFFICIALS
C/O Kentucky League of Cities
100 East Vine Street, Suite 800 Lexington, KY 40507
Telephone: 859-977-3700 / Fax: 859-977-3703
    This is a required question
    This is a required question

    Membership Levels

    Full Member……………………………..…$50.00 Full membership will be granted to any Black local elected official interested in the purposes of the organization upon payment of the required membership dues. Associate Member……………..…………..$50.00 Associate membership will be granted to any former Black local elected official or current appointed (non-elected) official or staff member interested in the purposes of the organization upon payment of the required membership dues (non-voting status). Supporting Member……………………..…$100.00 Supporting membership may be granted to organizations and corporations interested in the purposes of the organization upon payment of the required membership dues. (non-voting status). Honorary Member………………………….$50.00 Any resident or former resident of the Commonwealth of Kentucky who has rendered distinguished service to the cause of better representative government shall be eligible for honorary membership (non-voting status).
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    You may submit your form and pay on-line or submit the form and mail your payment.

    Please make your check payable to: Kentucky Black Caucus of Local Elected Officials Please mail to: KBC-LEO c/o Kentucky League of Cities 100 East Vine Street, Suite 800 Lexington, KY 40507 Attn: Eleanor Barbour