Member Information
Provide the following information. A followup email will be sent to collect additional information for the ConnectHER Hub.
First Name
Last Name
Email
*
Phone Number
*
Date of Birth
*
-
Month
-
Day
Year
Date of Birth
Select Communication
I consent to the following IHKC communication (Note: Members of the Facebook must consent to social media communication to join the community):
Contact Method
*
Text
Email
Social Media
Phone
I do not consent to any communication
Memberships
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Champion
$
35.00
for each
month
Professional
$
75.00
for each
month
Business
$
150.00
for each
month
Billing Email
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: