La Crosse Area Transit Advocates Membership

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form to join our group that educates about, supports, and advocates for public transportation in the La Crosse, Wisconsin area.

Your name *

Your email address (or, IF NO EMAIL, your phone number) *

Mailing address *

For example: 1000 Sycamore Road, MyTown, WI 54xxx

Where did you hear about LATA? *

Online (website or social media)

In the newspaper

On TV or radio

Friend sent an email or mentioned it

At an event

Other:

Please check all that apply

I am a public transportation rider

I do not own or drive a car

I am a public transportation worker

I do not have a driver's license

I would be interested in serving on the board of LATA

I would be interested in helping arrange LATA events

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report