Wisconsin Movers Association
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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


Member Type:
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:

Please fill out this form,
print it, and then mail
or fax it to our office:

 

Wisconsin Movers Association
P.O. Box 44849
Madison, WI  53744-4849



Fax: (608) 833-2875

Note: For security reasons, we do not accept credit card numbers by e-mail.



Questions or problems regarding this Web site should be directed to Dan Johnson.
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