Member

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

Instagram

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Is your business LGBTQ-owned? *

Looks good!

How did you hear about us? *

Looks good!

Please indicate specific Networking Event, Social Media Platform, Chamber Member, or Board Member who referred you to the Chamber *

Looks good!

Why did you join the Chamber (Networking Opportunities, Certification, other?) Please be specific. *

Looks good!

Are you interested in Volunteer Opportunities? *

Looks good!

Is Your Business: Brick & Mortar, Online, Both, Other? *

Looks good!

Do you have any other certifications? (ie. Woman-Owned [WBENC], Disability-Owned [DisabilityIN], Veteran-Owned, Certified with Port Authority of NY/NJ, Certified Small Business Enterprise (SBE) with the State of New Jersey, etc.?) *

Looks good!

Are you Hispanic or Latino?

How do you identify? (Race)

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

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

Instagram

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

Phone *

Please add your phone number.

Cell Phone

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.

Step 5:

Membership Package

Please select a Membership Package

Business Bronze $ 150

2-10 Full-Time Employees

Business Silver $ 250

10-50 Full-Time Employees

Business Gold $ 500

51+ Full-Time Employees

Solo-Entrepreneur/One Employee $ 125

Employee Resource Group (ERG) $ 250

Allows up to 15 representatives of any ERG to attend all events for free (or at member rates, if applicable).

Non-Profit $ 75

Must submit 501(c)(3) verification to "info@njlgbtchamber.org"

Social $ 60

For those that don't own a business, but want to join for networking opportunities. You still receive member discounts; however, this membership level does not include a directory listing.

Payment Option

Charge my credit or debit card

Please complete the Captcha

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

Payment Option

Get In Touch!

Additional Resources

Stay Connected!