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2010 Dane Buy Local Venetian Boat Parade

Join us as we launch our 2nd Annual Dane Buy Local Venetian Night ~ A Boat Parade of Lights on Lake Mendota.

10,000 Dane Buy Local Guides inserted in June Sustainable Times

In June, consumers found our new 2010 Dane Buy Local Guide and several articles about Dane Buy Local.

78 Dane Buy Local Members Involved at the 2010 WPT Auction

For a second year in a row, Dane Buy Local helped contribute to the success of Wisconsin Public Television's Auction in multiple ways on June 4, 2010.

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Business Application Form


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Membership Term 1-10 Employees 11-49 Employees 50+ Employees
1-year Membership $100 $200 $400
2-year Membership $180 $360 $720
Non-Profit Membership
(50% discount) 		1 year: $50
2 years: $90		 1 year: $100
2 years: $180		 1 year: $200
2 years: $360
Please select a membership term and fill in the information below:
Membership Term: *
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Number of Employees: *
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Amount: $ *
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Would you like to be publicly recognized on our website as a Significant Supporter?
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Please fill out the following as you would like it to appear in your Online Profile on the Dane Buy Local website:
Business / Organization Name: *
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Contact First Name: *
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Last Name: *
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Business Address: *
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City: *
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State: *
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ZIP Code: *
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Phone Number: * (xxx-xxx-xxxx)
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Email Address: *
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Website:
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Years In Business: *
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Invoice Information:
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If different, please provide your billing information:
Contact First Name: *
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Last Name: *
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Address: *
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City: *
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State: *
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ZIP Code: *
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Phone Number: * (xxx-xxx-xxxx)
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Email Address: *
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Member Referral (internal use):
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Number of Employees (internal use): *
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Does your business meet our member criteria? (Check the appropriate box and further explain below):
Please select the business location.		 Business is located in Dane County, WI (includes counties contiguous to Dane County: Columbia, Dodge, Green, Iowa, Jefferson, Rock, Sauk) *
Please select business ownership.		 Business is at least 51% locally owned *
Please select business local ability to make purchasing decisions. 		Business has local ability to make purchasing decisions (not dictated from outside of Dane County) *
County / counties your business is located in?
*
Please enter the county/counties your business is located.
Percentage of business ownership in Dane County?
*
Please enter the percentage of business ownership in Dane County.
Name / title of all business owners?
*
Please enter name of all business owners.
Your business purchasing decisions are made in what city/state?
*
Please enter the city/state where your business purchasing decisions are made.
Main contact name / phone number?
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*
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Do You Accept the Dane Buy Local Gift Card? * More Info >>


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Category - Please select one of the following categories *








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Would you be interested in hosting a future Membership Breakfast or Evening Social? * More Info >>


Please select a hosting option.
Regardless of the foregoing criteria, Dane Buy Local reserves the right to decline membership to any entity that, in the sole discretion of Dane Buy Local, is not in accordance with the spirit or mission of Dane Buy Local.
Date: *
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Please make check payable to Dane Buy Local and remit to:
Dane Buy Local
6300 Enterprise Lane
Madison, WI 53719

Please direct all questions to Ms. Lark Paulson, Director of Membership Services, at 608.467.7555 or lark@danebuylocal.com.
Please Fill in the Following to Complete Your Online Profile Information (not required at this time, but recommended):
5-10 Keywords (these are the same type of keywords entered into a Google search)
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Product / Service
What products and services do you offer, what's unique about your business (120 word limit)?
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Buying Local
Why is buying locally important to you? How do you show commitment to local vendors or products in your business (120 word limit)?
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History
When did your business start, by whom, how and why? (120 word limit)?
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Digital Photo
An ideal photo is one representing your friendly faces and/or the type of business you do
Check the following boxes to confirm that your photo meets our requirements:


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