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Industry Partner Application

Instructions

Thanks for your interest in membership with Big I Kentucky. We are happy you are here!
Please fill out the following information and a team member will contact you ASAP! In the meantime, check out all the membership perks associated with the Big I Kentucky Industry Partner program!

Select An Option

Industry Partner - Diamond $15000 Annually

Industry Partner - Platinum $10000 Annually

Industry Partner - Gold $6000 Annually

Industry Partner - Bronze $2000 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

GZ Member Template

Industry Partner Application

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