2007 Membership Application
Welcome Aboard! To join the Clark
County Economic Development Corporation’s team, please complete the following information and return it
with your membership contribution to: CCEDC, 212 S. Main St., P.O. Box 236,
Greenwood, WI 54437.(Make checks payable to-Clark County Economic Development
Corporation) Questions? Call (715) 267-3205 or mailto:clarkwi@tds.net.
Political entities (Towns, Cities, Villages)
Minimum
recommended $1.15 per resident
Other $________
1 to 10 Employees $ 100.00
11 to 50 Employees 300.00
51 to 100 Employees 500.00
101 to 250 Employees 750.00
251 + Employees
1,000.00
Small Retail Businesses 100.00
Large Retail Businesses 300.00
Main Location $ 500.00
Branch Locations 300.00
IV.
Professional Businesses
Accountants, Attorneys, Architects, Chiropractors, $ 300.00
Counselors, Dentists, Funeral Directors, Insurance
Agents, Optometrists, Pharmacists, Physicians, Real
Estate Agents, Veterinarians, etc.
V.
General
Clubs, Organizations,
Groups, Chambers, Unions, Bureaus,
etc. $ 200.00
VII. Other $________
Total $________
Name
(Individual, Business, Municipality, etc.)
________________________________________
_____________________________________________________________________________
Contact
Person ________________________________________________________________
P.O. Box
____________ Street Address _____________________________________________
City,
State, Zip Code ____________________________________________________________
Phone
___________________ Fax __________________ Email _________________________
Contribution
Amount __________________________ # of Employees ____________________
Please
return this form with your contribution (appreciated by May 1) to: Clark County Economic Development
Corporation,
Contributions
to the CCEDC are a tax deductible business expense. Personal contributions made to the CCEDC are
not tax deductible.
THANK YOU!