WasteCap Professional Member Network Sign-up Form

For more information about membership benefits, please visit the benefits page.

To join WasteCap Wisconsin as a member, please fill out and submit the page below.

STEP 1

I would like to join WasteCap Wisconsin as a member in order to support transforming waste into resources. This box must be checked in order to send the form. Please complete steps below.

STEP 2

Name:

Title:

Company/Organization Name:

Address:

City:

State:

Zip:

Phone Number:

Fax Number:

Email:

Website:


STEP 3

Regarding Your Email:

		WasteCap can list my email in its member directory accessible to members only
		Please keep my email address private for WasteCap use only

STEP 4

Membership Level:
*Membership is annual starting at receipt of payment

		Non-Profit / Sole Proprietor $100
		Government / Educational Institution $150
		Entrepreneur $250 (fewer than 10 full-time employees)
		Business $500 (fewer than 50 full-time employees)
		Corporation $1000 (greater than 50 full-time employees)
		Dedicated Supporter $3000
		Green Champion $5000

STEP 5

Payment:

		Please invoice me
		Please call me for credit card information (enter phone number in box below)
		I will mail payment (please print this form to mail with payment to WasteCap Wisconsin 2647 N. Stowell Ave. Milwaukee, WI 53211)
		I will submit my payment online. Click Here to open a secure payment window. (Be sure to complete and send the form in this window as well as completing the payment window).

STEP 6
Please provide a short description of your company/organization:


Additional Notes or Comments:

IMPORTANT NOTE: If you do not receive confirmation of your form submission within 3 business days, your form may not have been submitted properly. If this occurs, please contact WasteCap at wastecap@wastecapwi.org or 414-961-1100. Thank you.