Trempealeau County (, TREM-pə-loh) is a county in the U.S. state of Wisconsin. As of the 2010 census, the population was 28,816. Its county seat is Whitehall. Many people of Polish, Norwegian and German descent live in this area.

Tomah is a city in Monroe County, Wisconsin, United States. The population was 9,093 as of the 2010 census. The city is surrounded by the Town of Tomah and the Town of La Grange.

Clark County is a county in the U.S. state of Wisconsin. As of the 2010 census, the population was 34,690. Its county seat is Neillsville.

La Crosse is a city in the U.S. state of Wisconsin and the county seat of La Crosse County. Positioned alongside the Mississippi River, La Crosse is the largest city on Wisconsin's western border. La Crosse's population as of the 2020 was 52,680. The city forms the core of and is the principal city in the La Crosse Metropolitan Area, which includes all of La Crosse County and Houston County, Minnesota, with a population of 139,627.A regional technology, medical, education, manufacturing, and transportation hub, companies based in the La Crosse area include Organic Valley, Logistics Health Incorporated, Kwik Trip, La Crosse Technology, City Brewing Company, and Trane. La Crosse is a college town with over 20,000 students and home to the University of Wisconsin-La Crosse, Viterbo University, and Western Technical College.