Contact Information:

Company Name:_______________________________________________________

Owner's Name:_______________________________________________________

Address:____________________________________________________________

City:___________________________________State:_____Zip:________________

Phone:___________________________Fax:______________________________

Email Address:_____________________Website Address:___________________

Company Information:

Type of Company: [ ] Sole Proprietorship [ ] Part-time Operation

[ ] Partnership [ ] Corporation [ ] Full-time Operation

Year Established: ___________________

Area of the State: [ ] Milwaukee [ ] Fox Valley [ ]NorthCentral

[ ]Southwest [ ]Southeast [ ]Northeast [ ]Northwest [ ]Out of State

Membership Information:

[ ] Active Membership: Any organization providing cleaning services to the public.

[ ] Associate Membership: Any organization providing products, services or supplies to the cleaning industry

Dues: $245

Please remit payment and completed application to: AWCC, 6737 West Washington Avenue, Suite 1420 , Milwaukee, WI 53214

Please list other trade association memberships: ____________________________

Who recommended you to the AWCC? ____________________________________

As a member, your feedback is important, please note topics of interest that would be beneficial to you as an educational session.

___________________________________________________________________

AWCC’s mission is to promote and foster the mutual interests of its various membership groups, while also ensuring the delivery of the highest level of professional cleaning services to the public.

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