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Membership Application

Company Information

Company's Physical Address:(Required)
Mailing Address (if different):
Billing Contact Name:(Required)
Billing Contact Address (if different):
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Primary Contact

Name(Required)
Mailing Address (if different than above):

Secondary Contact

Name

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Business Description

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Contributions or gifts to Envision Greater Fond du Lac are not tax deductible as charitable contributions for income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of the organization’s lobbying activities. We estimate the non-deductible portion of your investment – the portion which is allocable to lobbying – is 2%.

Mailing Address: 23 S. Main Street, Suite 101, Fond du Lac, WI 54935
Phone: 920.921.9500
E-mail: [email protected]

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