WLCA  Metro Milwaukee Membership Application Form

Please fill out the entire Membership Application, and then submit your payment using our online store.

General Information

* Chapter
* Firm Name
* Address
* City
* State
Zip
* Contact First Name
* Contact Last Name
* Email
* Phone
Website
* Description of Profession,
Business or Operation
* No of years in Business
Name of Principal #1
Phone of Principal #1
Name of Principal #2
Phone of Principal #2
Current WLCA Member Reference
Other Organizations or
Associations of which your
Firm is a Current Member

References

Please include the following information for your references: 

  • Firm Name
  • Address
  • City, State, Zip
  • Contact Name
  • Phone
Industry Business Reference #1
Industry Business Reference #2
Industry Business Reference #3
Validation Code
(please enter the numbers in the image below)
The Captcha image