Join or Renew
Search by County
Form Not Working? Download Word-Compatible Version Here
Membership Quote details:
Preferred contact method:
Check here to receive email updates
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Join KHCA Now!
Choose between 3 convenient types of membership designed for different types of members:
Full Agency Membership
Organizational / Affiliate Membership
Provide us all the required info about your agency so we can process it together with your payment.
Click here to Calculate your Dues
and payment information
While you wait to pay the membership dues, the information submitted in the form below will be used to add your agency to our online directory of agencies.
Step 1: Submit Membership Quote Request
If you are already a member, or have calculated your dues, please proceed to Step 2
Name of Agency Representative:
Step 2: Submit Agency Information for Membership
View on Mobile