First Name *

Last Name *

Best Phone *

Best Email *

LK Graduation Year *

I would be interested in serving on the LK Steering Committee

I would be willing to help recruit LK applicants at my business/organization

Email List Signup

I would be interested in signing up for the Kenosha Area Chamber of Commerce weekly email to learn more about great events happening in Kenosha

Home Street Address *

Address Line 2

City *

State *

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ZIP *

Employer Name

Work Street Address

Address Line 2

City

State

ZIP