Become a Member

Application for Membership

* Corporate Name:

* Primary Contact Person:

* Name:

* Title:

* Address:

* City, State:

* Phone:

Fax:

Company Website:

* Email:

* Type of Business:

NAICS Code(s):*

* Is your company a subsidiary of a German company? yes
no
U.S. Headquarters

If so, please list parent company and address:

* Select the type of membership for your company:

Membership: National (Annual Dues: $300)
Local (WI Chapter Only) - Annual Dues: $150/contact

Additional Contact Persons (National Members Only):

1st Contact-Name:

Title:

2nd Contact-Name:

Title:

3rd Contact-Name:

Title:

* Will you or others in your organization be able to support the Wisconsin Chapter in an advisory or leadership capacity?

Choose: yes
no

If yes, please indicate area(s) of potential interest (e.g. programs, publicity, membership, etc.) and the persons to contact in that regard:

Please type in the code: