* indicates a required field

*Company Name:
*Business Contact:
Food License#:
*Phone:  Must contain only numbers and hyphens
e.g: 000-000-0000
Alternate Phone:  Must contain only numbers and hyphens
e.g: 000-000-0000
Fax:  Must contain only numbers and hyphens
e.g: 000-000-0000
*Email:
Alternate Email:
Website:

*Street Address:
Address Line 2/Apt #:
*City:
*State:
*Zip:
*County:

*Company Description:
Product Descriptions:

Company Categories:
  Artisan and Craft     Association or Non-Profit Group     Bakery     Bath and Body      Beverage  
  Candle     Candy and Confectionery     Cheese and Dairy      Distributor     Feed and Fertilizer   
  Frozen     Fruit     Furniture and Wood     Gift and Novelty      Ginseng and Herbal  
  Grocer     Honey     Jam and Jelly      Mail Order Product     Manufactured Product  
  Maple Syrup     Meat     Nursery and Christmas Tree     Organic and Natural     Pet Food  
  Processor     Restaurant     Retail Product     Sauce and Condiment     Seafood  
  Seasoning and Spice     Services     Snack Food     Sorghum     Soup  
  Specialty Retailer     Tourism     Vegetable      Wholesale Product  

Company Types:
  Association   Cooperative   Direct Marketer   LLC   LTD
  Mail Order   Manufacturer   Non-Profit   Partnership   Processor
  Producer   Retailer/Store   Sole Proprietor   Virtual Store   Wholesaler

Company Logo Usage:
  Company Literature   Company Vehicle   Company Website   Other   Point of Purchase Signage
  Print Advertising   Product Label   Product Packaging   Social Media Sites   Television Advertising


Registration Fees

Select your Annual SalesRegistration Fee
 Exempt, non-profit organizationNo registration fee
 Gross annual sales $0 - $10,000$10
 Gross annual sales $10,001 - $50,000$35
 Gross annual sales $50,001 - $100,000$50
 Gross annual sales $100,001 - $250,000$100
 Gross annual sales $250,001 - $500,000$150
 Gross annual sales more than $500,000$200


Payment
Payment Type:
  By Credit Card Online
  By Check in the Mail
  No Fee

Application Terms and Conditions

Applicant hereby certifies that the Something Special from Wisconsin™ logo will be applied only in the fashion described above and that a minimum of 50% of the value added for the products, commodities, or services on which the logo will be used were grown, produced or processed in Wisconsin and are not an imitation.

Use of the certification mark on products, commodities or services which have received approval but undergo change in composition or labeling must be resubmitted for approval.

Applicant agrees to use the certification mark in accordance with section 93.44(2), Wis. Stats. and subchapter II, ATCP 161, Wis. Adm. Code.

Applicant further agrees not to deviate from the graphic standard provided authorized users. Only color changes may be allowed by written consent from the Wisconsin Department of Agriculture, Trade and Consumer Protection.

Membership approval does not represent that your products or their label comply with other laws including food labeling, weights and measures, and food safety laws. All applicants must submit a completed application, fee payment (credit card, check, bank order) and examples of product labels or company literature, (sample or electronically), on which the logo will be used.

Applicant will indemnify and hold harmless the State of Wisconsin Department of Agriculture, Trade and Consumer Protection and its employees from and against all product liability claims, actions, damages, costs and expenses, including reasonable attorney's fees arising out of, or in connection with, Applicant's use of the certification mark.

The right to use the certification mark herein granted shall be subject to annual permit fees under section ATCP 161, Wis. Adm. Code. Approval is only granted to applicant and may not be assigned without prior written consent of the State of Wisconsin Department of Agriculture, Trade and Consumer Protection. The term of the annual permit commences upon receipt of approval and shall continue until the annual permit expires on June 30 of each year. Termination of the agreement shall not affect any rights or remedies of the State of Wisconsin Department of Agriculture, Trade and Consumer Protection for any breach of the agreement by applicant.

Applicant acknowledges and agrees that the right to use the certification mark herein granted is non-exclusive and that the Wisconsin Department of Agriculture, Trade and Consumer Protection reserves all rights to license, assign, or otherwise use the certification mark to promote the Something Special from Wisconsin™ program, the Wisconsin Department of Agriculture, Trade and Consumer Protection, and products produced or processed in Wisconsin.

  By clicking here, I agree that I have read and understand the Something Special from Wisconsin™ membership application terms and conditions.