Join the Tavern League   

Membership Application

To register as a member of the Tavern League, please complete this form and submit payment via PayPal (click the PayPal button at the bottom of this page) or mail a check to: Tavern League of Indiana, 5455 E. 13th St., Indianapolis, IN 46219.

Applicant Information (use name on permit if applicable)
First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: * (5 digits)
State:
Business Information
Name of Business:
Permit number:
Contact Information
Phone:
Email: *
Web site:
Additional contact person (optional):
Additional contact email (optional):
Membership Level
  Martini LevelMojito Level
Margarita LevelMimosa Level
What is your top government-related concern as a tavern owner, employee and/or patron?
Comments:
I would like to receive occasional* email newsletters and updates from the Tavern League of Indiana.

[*We promise not to abuse this privilege. We are officially anti-spam.]