Member - New Jersey LGBT Chamber, NJ

Thank you for your interest in becoming a member of the New Jersey LGBT Chamber! To get started, please complete the following member information to move forward. **UPON ACCEPTANCE OF YOUR APPLICATION, THE NEW JERSEY LGBT CHAMBER OF COMMERCE RESERVES THE RIGHT TO SHARE YOUR BUSINESS CONTACT INFORMATION WITH OUR PARTNERS AND SPONSORS**

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Is your business LGBTQ-owned?: *

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

How did you hear about us?: *

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

Are you interested in Volunteer Opportunities?: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Business Bronze: $150.00
2-10 Full-Time Employees Business Silver: $250.00
10-50 Full-Time Employees Business Gold: $500.00
51+ Full-Time Employees Solo-Entrepreneur/One Employee: $125.00
Employee Resource Group (ERG): $250.00
Allows up to 15 representatives of any ERG to attend all events for free (or at member rates, if applicable). Non-Profit: $75.00
Must submit 501(c)(3) verification to "info@njlgbtchamber.org" Social: $60.00
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

Print Application

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Categories

Quicklinks

Events

Event Calendar

Pages

Members

Categories

Quicklinks

Events

Member Application

Mailing Address

Address

Address

Event Calendar