Member Application

Thank you for your interest in joining the North Texas LGBT Chamber of Commerce. By completing and submitting the Membership Application you agree to the following: • Confirm that you are the owner/manager of this business with authority to enter into contracts on behalf of the business. • Agree to abide by the Chamber's Standards of Business Conduct & Ethics. • Have read and understand the Chamber's Privacy Policy and website Terms of Use. • Authorize the Chamber to publish your name, photo and/or business information in the Chamber's newsletter, online directory, print directory and other publications. • Understand that the Chamber will use your email address for sending general communications and invoices. Membership Applications are subject to administrative and/or Board approval.

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Google+

Instagram

Weddingwire.com

Yelp

YouTube

GlassDoor

Step 2:

Additional Info

Business Keywords (enter a space between words)

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Source - How did you hear about us: *

Looks good!

Referral Details

Annual Sales

Minority Owned

Minority Certified

Minority Cert Expiration

Women Owned

Women Certified

Women Cert Expiration

LGBT Owned

LGBT Certified

LGBT Cert Expiration

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Facebook

Twitter

Google+

Instagram

Weddingwire.com

Yelp

YouTube

GlassDoor

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone *

Please add your cell phone number.

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Create Account

Password *

Please add your login password.

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Additional Fees:

Payment Option

We work to achieve equality through business.