Application

Please complete the form below. If you have any questions, please contact Andrea Medved at 414-287-4115.

Organization Information Will be displayed online

Organization Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Website

Email

Headquarters Location (if outside Metro Milwaukee)

Number of Metro Milwaukee Employees

Number of Total Employees

Does your business fall under any of these categories? (Please select all that apply by clicking while holding Ctrl Key)

MMAC Primary Contact This person will be listed in the MMAC membership directory and will receive email notifications. Please note, emails are not published.

First Name

Last Name

Title

Direct Phone

Direct Email

Contact Address is Same as Above YesNo

Address 1

Address 2

City

State

Zip

Additional Contacts

Take full advantage of your membership - add contact information for your employees who can benefit from MMAC programs and services (ie. top executives, sales, finance, human resources, marketing, information technology, and other key areas within your company).

Billing Address

Billing Address is Same as Above YesNo

Billing Contact First Name

Biling Contact Last Name

Address 1

Address 2

City

State

Zip

Mailing Address

Mailing Address is Same as Above YesNo

Address 1

Address 2

City

State

Zip

Business Category

Primary Business Category (for printed and online directores)

Additional Business Categores (listed only in online directory, max 5) Select additional directory categories below by holding the "CTRL" key. Secondary categories may be subject to additional fees.

Application .wc-legacyPageTitle, .GeneralHeader, .HeaderStyle1, #wc-eventDetailsPageTitle, #wc-eventRegistrationPageTitle { display: none!important; }

Application