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 dues are billed on a calendar year basis. Membership is due in January of every year.

Please note that demographic questions (i.e. about race, gender identity, etc.) are optional and for our data purposes only. We want to better understand our member businesses, but we do not want to invade your personal privacy.

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

Business Information

Company Name: *

Leave Blank:

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: *

LGBT Business Enterprise Certified:

Certified as a Womens Business Enterprise:

Certified as a Minority Business Enterprise:

Certified as a Business Enterprise owned by People with Disabilities:

Certified as a Disadvantaged Business Enterprise:

Please list any other certifications:

Referral (if no referral, put ''N/A''): *

Orientation:

Gender Identity:

Hispanic/Latinx/Spanish?:

Race:

Please indicate combination of races:

Mailing 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: *

Membership Options

Membership Package: *

Silver Membership: $195.00
Gold Membership: $395.00
Platinum Membership: $795.00
Rainbow Membership: $1,295.00

Payment Option:

Charge my credit or debit card

Print Application