Welcome to Wisconsin Direct Marketing Association

Membership Application

YES! I want to enjoy the benefits of membership in the Wisconsin Direct Marketing Association. Send me an invoice for a:

Individual Membership $150

Academic Membership $50 (full-time student or faculty)

Corporate Membership $500 (for up to ten members; additional
members $25 each.)

Please list names and titles below.

Name:

Title:

Company:

Address:
City:	State:	Zip:

Phone:

Fax:

E-Mail:

Note: if you are applying as an individual, please skip to submit button at the bottom of this form.

Names and Titles for additional corporate members:

#1	Name
	Title
	eMail

#2	Name
	Title
	eMail

#3	Name
	Title
	eMail

#4	Name
	Title
	eMail

#5	Name
	Title
	eMail

#6	Name
	Title
	eMail

#7	Name
	Title
	eMail

#8	Name
	Title
	eMail

#9	Name
	Title
	eMail

#10	Name
	Title
	eMail

© Wisconsin Direct Marketing Association
P.O. Box 26275
Milwaukee, WI 53226-0275

tel: 414-760-WDMA (9362)
fax: 414-431-4195
email: info@wdma.org