Membership Application

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Business Name

Business Category(Required)

Select one or more categories

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

Mailing Address is Different than Business Address

Mailing Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone

Secondary Phone

Contact Name(Required)

Prefix First Last

Position

Mobile Phone

Fax

Website URL

Is your business an accommodation?(Required)

Please provide your UBI Number

Please provide your Transient Lodging Permit Number

Please provide your Tax Parcel Number

Membership Plan

Annual Membership Plan(Required)

Business 1 to 3 ($200/year)

Business 4 to 6 ($220/year)

Business 7 to 9 ($260/year)

Business 10+ Employees ($620/year)

Business 1 owner, no employees ($160/year)

Non Profit ($160/year)

Membership Add-Ons (one-time)

Tile Ad on Chamber Home Website

Visitor Information Brochure Rack System

Amount to Donate to Island Lights Festival

One-time donation

Amount to Donate to July 4th Fireworks Fund

One-time donation

Total

Credit Card(Required)

Cardholder Name

Card Details

Antigo/Langlade County Chamber of Commerce & Visitors Center

Open 10am-4pm, Monday - Friday

1005 S. Superior Street
Antigo, WI 54409

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Phone: (888) 526-4523

Accommodations
Activities
Agriculture/Aquaculture
Antiques & Resale
Art, Artist, Gallery
Aviation
Biking
Boating
Books/Clothing/Gifts
Chamber of Commerce
Construction
Education
Financial Services
Government
Groceries
Health & Wellness
Information
Interior Design
Island Services
Kayaking
Non-Profit
Professional Services
Real Estate
Restaurants
Service Clubs
Shopping
Transportation
Utilities
Weddings
Whale & Wildlife Tours
Wine/Spirits

Membership Plan

Visitor Information

Address

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