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Waukee YP Membership Application

Waukee Young Professionals (Waukee YP) is a new committee of the Waukee Area Chamber of Commerce, connecting and providing growth opportunities for young professionals who work or live in the Waukee area. Please complete the membership application below to start taking advantage of all of the benefits and opportunities Waukee YP offers!

* denotes a required field.

General Information

First Name: *
Last Name: *
Company:
City:
State:
Zip:
Phone:
E-mail: *

Payment Information

Product Quantity Price Subtotal

Waukee Chamber Member Rate:

Quantity:

Price:		$25.00

Subtotal:

Current Waukee Area Chamber of Commerce Membership Rate for Waukee YP is $25 per year from the date of purchase.

Non-Member Rate:

Quantity:

Price:		$25.00

Subtotal:

December special Waukee YP rate for non-members of the Chamber. Rate will increase to $40 January 1, 2019.

Total Amount Due:

Billing Information

Payment Type: *

Please make checks payable to the Waukee Area Chamber of Commerce. Checks can be mailed or delivered in person to the following address:

208 W. Hickman Road
Waukee, IA 50263

Credit Card Type: *
Credit Card Number: *
Card Security Code: *	(What is this?)
Expiration Date: *

First Name: *
Last Name: *
Company Name:
Address: *
City / State / Zip: *