Visit Ketchikan Alaska - Membership Application

Company Name:
AK Business License #:
Years in Business:
Website or Facebook link:
Phone:
Fax:
Toll Free:

Please provide a short description of your business or service to be used on your visit-ketchikan.com listing. (250-character limit):

Primary Contact Information

Contact Person Name:
Title:
E-mail Address:
Cell Phone:

Business Physical Address [-]

(used for KVB website and printed guidebooks)
If you do not have a physical address, do not fill in this section. Your mailing address will be used for KVB marketing.

Physical Address:
City/State/Zip:
Country:

Business Mailing Address [+]

If this is the same as your physical address, you do not need to fill this in.

Mailing Address:
Mailing City/State/Zip:
Country:

Billing / Invoicing Information [+]

If this is the same as your physical address, you do not need to fill this in.

Billing Contact:
Billing Email:
Billing Address:
Billing City/State/Zip:

Fall/Winter Mailing Information [+]

If you have a different mailing address during Fall/Winter, please fill this in.

Winter Mailing Address:
Winter City/State/Zip:

MEMBERSHIP CATEGORY

This is the main category your business will be listed in. For information on paid advertising in additional categories, please contact us.

Additional Contacts [+]

If there is anyone else in your organization that you would like to receive membership updates/information, please include them here.

Name:
Email:

Name:
Email:

Name:
Email:

Please review your information before pressing the "Submit" button. Thank You.

Membership Application

Business Information