Kansas City Biomedical Society Membership Application
Fill out the following form to request information or to join KCBS. Then use your browser's print command to print it out and fax it to: (816) 943-4741
Application for Individual Membership: $20.00/year.
Application for Corporate Membership: $100.00/year.
Application for Student Membership: $10.00/year.
Information Update (Address, phone, work, etc.)
Information Request
Name: Home Address:
City: State: Zip
Home E-Mail:
Home Phone #:
Employer:
Address:
City: State: Zip
Work E-Mail:
Work Phone#:
By signing below I agree not to hold any of KCBS members liable for any harm that might happen to me while attending KCBS meetings. I also understand that if I consume alcohol at KCBS meetings that I will not hold KCBS liable in any manner. This includes any injuries, accidents or legal infractions that could occur during or after KCBS meetings
