Northwest Kansas Travel Council, Inc.
            317 N. Pomeroy
           
P.O. Box 248
            Hill City , KS   67642

            www.northwestkansas.org     

                         2010 Membership Application (fill in and mail to address below)

Organization __________________________________________________________________

Contact Name  __________________________________________________________________

Address ______________________________________________________________________

               ______________________________________________________________________

Phone ________________________________________________________________________

Fax __________________________________________________________________________

E-mail Address _________________________________________________________________

Website _______________________________________________________________________

Please indicate your type of membership:

    ____ Attraction                         ____ Lodging                        ____ Museum                        ____ Restaurant 

     ____ Publication                        ____ Utility                           ____ Chamber/CVB               ____ Econ Dev/City  

     ____ Other Business                ____ Highway Association/Regional Organization            ____ Individual

Indicate any committee that you would like to serve on:

   ____ Ultimate Guide                  ____ Education                    ____ Sampler Festival         _____ Fermata

              Annual Dues Structure for Northwest Kansas Travel Council

Lead Organization (Chambers of Commerce, Econ, Dev, Groups, CVB’s)              
                                 Under 7,500 population or less than $50,000 transient guest tax (T.G.T.)            $100
                                 Over 7,500 population or over $50,000 T.G.T.                                                           $200

Other                       Government Agency or Organization under Lead Organization                       1/2 Price

Businesses                Lodging, Service Stations, Marinas, Restaurants, etc .                                          $75

Attractions, Museums, Galleries                                                                                                                 $75

Associations    (Highway, Business Assoc.)                                                                                               $50

AMOUNT ENCLOSED                                                                    $____________


Send completed form with check made payable to:    Northwest Kansas Travel Council, Inc.
                                                                        317 N. Pomeroy Avenue
                                                                        Hill City, KS  67642