I would like to join WasteCap 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.

Name (required)

Title

Company / Organization Name

Address

City

State

Zip Code

Phone Number

Fax Number

Email

Website

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

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

Payment
 Please invoice me Please call me for credit card information (Enter phone number in box below) I will mail payment (Please submit this form below and mail check to WasteCap Resource Solutions, 131 West Seeboth Street, Suite 220, Milwaukee, WI 53204) I will submit my payment online (After completing Step 1 by pushing the Send button, please continue to Step 2 at the bottom of the page)

Please provide a short description of your company/organization

Additional Comments

Type the letters/numbers from the image

To complete Step 1, please push the "Send" button. If paying online, please continue to Step 2.

IMPORTANT NOTE: If you do not receive confirmation of your submission within 3 business days, please contact WasteCap at wastecap@wastecap.org or 414-961-1100.