KCAR Affiliate Application Select An Option Affiliate Price of Level Selected (Price Range: $225 - $900 Annually) Select Level Blue Hen: $525 Annually Diamond: $900 Annually First State: $225 Annually Enter Contact Information Prefix (i.e. Mr. Mrs. Dr.) First Name Last Name Suffix (i.e Jr. Sr. III) Designations TBD2 TBD3 E-mail Family NameOffice Name View Membership Terms Next Please select a valid membership option and fee item if exist Powered By GrowthZone