Please complete the following form to apply for membership in the Young Professionals of the Coulee Region (YPCR) group, part of the La Crosse Area Chamber of Commerce. For questions, please reach out to or call 608-784-4880.
Best phone number to reach you at.
(optional, for text reminders)
Format: M/d/yyyy
Required to confirm the age restriction of 21-40 year old individuals.
Applying as a
What is the best way to contact you? This will be used to alert you to upcoming YP events and other important information. *
Please specify how you wish to be billed.
Please select which one applies:
Please specify who is funding this membership

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Young Professionals of the Coulee Region Application
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