First Name *

Last Name *

Employer *

If your employer is a current La Crosse Chamber member, you will receive the $50/year membership.

If your employer is not a current La Crosse Chamber member, you will receive the $280/year membership.

You can view our Chamber membership list here.

Applying as a... *

Chamber Member: $50/year

La Crescent Chamber Member: $70/year

Non-Member: $280/year

Job Title *

Email *

Email associated with your current employer.

Phone Number *

Cell Phone

Employer Address *

Employer City *

Employer State *

Enter required value WI MN Other

Employer Zip/Postal Code *

Date of Birth *

Required to confirm the age restriction of 21-40.

Who will be funding this membership? *

Enter required value Myself My employer

Please select which one applies: *

Enter required value I have lived here all my life. I grew up here and moved back. I relocated here and found a job. I was hired and then relocated here.

How did you hear about the Young Professionals?

Employer Coworker Friend Online/Social Media Other