Member Application

Thank you for your interest in the LGBT Chamber of Commerce of Illinois.

We look forward to helping build your business. Once your application is approved, you will be able to update your profile and gain access to all our chamber has to offer.

Membership renews annually until cancelled by the member. Annual renewals are due at the beginning of the calendar year. For example, dues paid in January 2017 are for the entire 2017 calendar year.

If you have any questions, please contact us at 773-303-0167.

Business Information

Company Name: *

Phone: *

Website:

Email: *

Directory Category: *

Employees:

Full-time Part-time

Comments / Questions:

Start Date of Business:

Legal Entity: *

Annual Revenue: *

This business is 51% or more owned by an LGBT individual: *

Please list any other certifications:

Referral:

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 5 plus 8?: *

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