WISCONSIN MOVERS ASSOCIATION

Membership Application

COMPANY NAME:
CONTACT PERSON:
TITLE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL:
WEBSITE:
800#:

Annual dues schedule:

Mover $225

Allied $250

Mover Allied (Please specify type of business)
 

Payment options: Check enclosed Bill me Charge to my credit card

Credit card information (We accept MC or Visa)(Enter numbers only)
Card # Exp date:

This form can be submitted online, but your email program must be active. You can also print out this form and either mail or fax it to:

Wisconsin Movers Association
PO Box 44849
Madison, WI 53744-4849
Fax: 608-833-2875

Questions or problems regarding this web site should be directed to Webmaster
Copyright © 2002 Wisconsin Movers Association, Inc. All rights reserved.
Last modified: November 1, 2007