Nonprofit Application

NONPROFIT

APPLICATION

Dane Buy Local

Nonprofit Member Application

Please fill out the following as you would like it to appear in your Online Profile and on the Dane Buy Local website.

Business Name *

Contact First & Last Name *

Business Address *

Phone No. *

Email *

Number of Employees *

Type of Organization Product or Service *

Is your organization located in Dane County or counties contiguous to Dane County (Columbia, Dodge, Green, Iowa, Jefferson, Rock and Sauk)? *

Is your organization registered in Wisconsin? *

Is your business part of a franchise? If so, please provide the address of the home office. *

Are the corporate headquarters of your business located with Dane County or contiguous counties? *

Does your business independently control purchasing decisions allowing you to buy goods, products or services from vendors of your choosing? *

Can your business make independent decisions regarding the name and look of the business, including marketing, advertising, logo design, and branding decisions? *

Does your organization make independent decisions regarding business procedures, practices and policies? *

I would like to receive the weekly "BUZZ" Newsletter. (please type "yes" or "no") *

I would like to recieve the monthly "Local Lifestyle" Newsletter. (please type "yes" or "no") *

Do you except the Dane Buy Local Gift Card? (please type "yes" or "no") *

Please provide 3 keywords that describe your industry type: *

Are you interested in hosting an evening social? *

Are you interested in serving on one of our volunteer committee

When did your business start, by whom, how and why? *

Why is buying locally important to you? How do you show commitment to vendors or products in your business? *

By joining Dane Buy Local I pledge to consider local buying options when making purchasing decisions (please type your signature below) *

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We all win when you THINK LOCAL FIRST

NONPROFIT

APPLICATION

Dane Buy Local

Nonprofit Member Application