Membership Form – KLEK Business Directory

Get Your Business Listed for FREE

Please, complete the form below to get your business/organization listed in our directory.

Adding your listing is FREE. However, we are a non-profit organization doing this as a community service. You may leave a small financial gift at the end of the form to help us continue on our mission to educate, entertain, and empower, but it’s not required.

If you’re business is already listed in the directory, please go here.

* = Required

Business Details

Business Name *

Business Category *

Billing Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Phone Number *

Use this billing address as my business address.

How did you hear about us?

User Registration

First Name *

Last Name *

User Name *

Password *

Select Membership Level and Pay

Membership Level *

Optional Donation
It doesn't cost anything to be listed in this directory, but if you want to contribute a one-time gift to KLEK and the Voice of Arkansas Minority Advocacy Council and help us provide the community with education, entertainment, and empowerment, you can do so.

Total Due:

Payment Method: PayPal

Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy for more information on how we protect and manage your data.