ASSOCIATE MEMBER APPLICATIONDUES: $395.00 PER YEAR

133 Evergreen Road, Suite 201Louisville, KY 40243

phone 502.400.3736 fax 502.896.0465www.kyra.org

K E N T U C K YR E S T A U R A N T

A S S O C I A T I O N

THE FOLLOWING INFORMATION WILL BE USED FOR YOUR FREE WEB POSTING ON THE KRA WEBSITE. PLEASE INCLUDE ALL INFORMATION FOR A COMPLETE LISTING.

(WWW.KYRA.ORG)BUSINESS NAME________________________________________________________________________________

CONTACT PERSON_______________________________________________________________________________

TITLE___________________________________________________________________________________________

PRIMARY ADDRESS______________________________________________________________________________

CITY____________________________________________STATE_____________________ZIP__________________

PHONE________________________________________FAX_____________________________________________

E-MAIL_________________________________________WEB SITE _______________________________________

Hours of Operation per day_________________________________________________________________________

Credit Cards Accepted: Master Card American Express Visa Discover None

Description of your business to be used on the web site ___________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Other Locations: (attach separate sheet if necessary)_____________________________________________________($65 per additional listing)

To the Board of Directors: I submit my application for membership in the Kentucky Restaurant Association.

Signature:__________________________________________ Date:________________________________________

Accounting / Financial Advertising / PromotionsAssociationBakery ProductsBeerBeverages (Alcoholic)Cash Registers / SuppliesChemical / Clean SuppliesCoffee, Tea, Hot ChocolateComputers / SuppliesConstruction / DesignConsultantsConsultants - FoodserviceConsultants- Menu / Nutrit.Convention & Visitors Bur.Credit Card ProcessingDairy Products

DistilleriesViral Marketing - (Email, Internet, Online Video)Exhaust System CleaningFood BrokersFood ManufacturerFoodservice DistributorsFranchise DevelopmentFrozen FoodsGift Cards - ElectronicGourmet FoodsGrease RemovalGrease Trap ServiceHood CleaningHospitality Profit SolutionsHVACIce Cream

Ice Machines / DispensersInstitutional FoodsInsuranceKentucky ProductsLegal ServicesLinensMarketingMeatsMusic LicensingMystery ShoppingOil Micro-filtrationPaper ProductsPavement / Parking LotsPayroll ProcessingPest ControlPizza SuppliesPlumbing

Point of Sales EquipmentPoultryPrintingProducePublicationsReal Estate / AgentRecyclingRestaurant Equip & SupplyRestaurant Equip PartsSeafoodSecurity / Alarm SystemsSoft DrinksTelecommunications UniformsWaste Removal ServicesWine/Spirits Wholesalers

Category (pick one that best describes your business)

GENERALI am interested in serving on the (STATE) (CHAPTER) Board. (Circle one or both)

I am interested in serving on the following committee(s):__________Legislative ___________ Hospitality ___________ Membership __________Educational Foundation ___________ Marketing Trustee

Issues that I want to know more about:________________________________________________________________

Benefits and services I would like to know more about:_____ Property & Casualty Insurance

_____ Educational Seminars & Classes

_____ Employment Postings on our Web Page

_____ Web Site Hosting

_____ Payroll Processing

_____ Credit Card Processing Program

_____ “Information Hotline” for confidential answers to labor, wage & hour, and other questions

Benefits and services that I would like to see added _____________________________________________________

CLASSES & WORKSHOPS

_____ Bar & Beverage Sales

_____ Accounting for Restaurants

_____ Crisis Management

_____ Marketing

_____ Restaurant Profit Management

_____ Bar Code

_____ Menu Planning & Development

_____ Legal Issues

_____ Team Building

_____ Managing Employee Performance Problems

_____ Opening a New Restaurant

_____ ServSafe®

Classes and Workshops I would be interested in attending:

KRA TRADE SHOWDo you attend KRA’s annual EXPO trade show? Yes/No If no, why?___________________________________

What exhibits or workshops would you like to see added to the show? ______________________________________

______________________________________________________________________________________________

My payment is enclosed, or charge to (circle one) Master Card Visa American Express Discover

Card #_________________________________________________________ Exp Date _________________________

Name on Card___________________________________________________________________________________

Billing Address of Card_____________________________________________________________________________

To join, complete this application & return with payment for first year’s dues to:

KENTUCKY RESTAURANT ASSOCIATION133 EVERGREEN ROAD, SUITE 201

LOUISVILLE, KY 40243502-400-3736

502-896-0465 FAX