Name

Title

Company/Organization

Street Address

City/State/Zip

Business Phone (Format: 000-000-0000)

Fax (Format: 000-000-0000)

Email (required for on-line registration)

Company Website

Membership Options:

(Memberships are effective January 1 to December 31, 2008)

Renewing Member:         This is my year with WCCI.
   Standard Membership – $90.00  (Does not include the cost of meals.)
   Prepaid Membership – $225.00   (Includes the membership fee plus all your meals.)

New Member:
   Standard Membership – $120.00  (Does not include the cost of meals.)
   Prepaid Membership – $255.00   (Includes the membership fee plus all your meals.)

Photo for Member Directory (printed annually on January 15th):
   Use photo from last year's directory.
   I will mail a new photo to Tara Ingalls at 2961B Yarmouth Greenway Drive, Madison, WI 53711
   I will email a photo to – Send file as 2" .jpg or .tif at 300 dpi
   I do not have a photo at this time.

Committee Involvement:
I would like to get more involved in WCCI and serve on the     Committee.

Marketing & Membership Committee
    If you work with the media or have marketing expertise or graphic design experience, consider signing up for the Marketing & Membership Committee. Members in this group increase WCCI’s visibility and seek to develop a positive image for the organization.
      Activities include designing monthly notices, updating the WCCI website, publicizing monthly luncheons, and creatively marketing WCCI to prospective members or groups in the area.

Program Committee
   Have a direct influence on your professional development while helping your fellow members network! On this committee, you’ll arrange our monthly luncheons, determine the subject matter of our meetings, secure guest speakers and coordinate meeting registration, payment and location logistics. Committment is only two 1-hour meetings per year.

Comments or suggestions for future speakers: