Young Professionals Application

$35 Annual Membership
$0 if employed by a Champion Sponsor
Annual membership fee must be paid prior to your membership being activated.

Title

First Name *

Last Name *

Suffix

Company Name

Job Title

Company Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Phone (Work)

Phone (Cell)

Email Address *

Signature (Type your full name) *

NOTE: YP membership dues are separate from the Lubbock Chamber dues