Join Tavern League of Wisconsin

Please complete the form below to apply for membership with the LCTL. Remember, membership doesn't cost...it pays.


Owner or Agent

Business Name

Business Address Location

City
State
Zip Code

Business Phone
Home Phone
Fax Phone

Email Address
Web Site
Cell Phone

Sellers Permit #
County/League
(Local dues vary by county/league.)

Complete if mailing address is different than street address:


Street Address/PO Box etc.

City
State
Zip Code

Business Type (check all that apply)

Bar/Grill Bar/Tavern Bowling Center
Country Club Dance Hall Entertainment
Liquor Store Nightclub Restaurant
Other

License Type (check one)

Class A Class A Liquor & Beer Class C Wine
Class B Beer Class B Liquor & Beer

Method Of Payment


OPENS A NEW WINDOW

OR Pay by Credit Card Online


Credit Card Type

(no dashes)
Credit Card Number

(ex: ##/##)
Credit Card Expiration Date

(last digits on the back of card)
Credit Card CSC code



Name on Credit Card


Credit Card Address


Credit Card City
Credit Card State
Credit Card Zip


Credit Card Phone

All registration information secured by GNUPG encryption.

State and National Dues (yearly) $125.00
County Dues
TOTAL