Wisconsin County Code Administrators
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WISCONSIN COUNTY CODE ADMINISTRATORS RENEWAL/APPLICATION FOR MEMBERSHIP (click to download)
Name:
Current Employer: Work Phone: ( )
Business Address:
Title/Position: e-mail:
Area of Expertise: Years of Experience:
Would you be willing to serve on the WCCA Executive Board?
Would you be willing to serve on a WCCA committee? If “Yes”, which committee or committees?
Membership fees include the dues for the current operating year, 1 copy of the WCCA directory and reduced registration fees for the spring and fall educational seminars.
With my signature below I acknowledge that I have read the statement of principles of the WCCA (see reverse side) and agree to abide by those principles.
Signature of Applicant Date
Membership Category:: Full $40.00 Associate $40.00
*This is an additional renewal from this office $30.00
NOTE: Renewal applications for the first member from any office is $40.00, and $30.00 for each additional member from the same office. Please submit applications from the same office in the same envelope.
Please submit this completed form along with your payment to the office below. Make checks payable to the Wisconsin County Code Administrators.
WCCAVILAS COUNTY ZONING OFFICE330 COURT STREET EAGLE RIVER WI 54521-0369 |
