Member Application Thank you for your interest in joining the Mid-America LGBT Chamber of Commerce! You are just minutes away from completing your application to become a member of the Chamber. Please note that all applications are subject to board approval. Step 1: Member Info Step 2: Additional Info Step 3: Primary Contact Step 4: Billing Contact Step 5: Membership Options Step 1: Member Info Company Name * Please add your company name. Leave Blank 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 * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. 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 * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Social Network Addresses LinkedIn Facebook Instagram Twitter YouTube Step 2: Additional Info Business Description (200 char max) Business Keywords (enter a space between words) Directory Category * Choose... Accommodations - Hotels & Resorts Accounting & Bookkeeping Acupuncturists Addiction Recovery Advertising Agencies & Consultants Antiques Apartment Homes Appliance Repair Architects Art Studios & Galleries Arts Organizations & Information Attorneys - Bankruptcy Law Attorneys - Business Planning Attorneys - Criminal Defense Attorneys - Estate Planning & Elder Law Attorneys - Immigration Law Attorneys - Personal Injury Attorneys - Real Estate Attorneys--Employment Law Attorneys--Tax & Estate Planning Attorneys Audio Visuals / Production Automotive Automotive Sales Background Screening Baked Goods & Gifts Banking Services Bars & Nightclubs Beverage Distributors Bicycle Shop Bowling Business & Professional Associations Business Brokers Casinos Caterers Chamber of Commerce Chapels Chiropractors Churches & Synagogues Cleaning Services Clinics Coffee & Tea Coffee Shops Colleges--Art & Design Community Centers Construction Consulting--Customer Relations Consulting Contractors - Electrical Contractors - Painting Contractors Counselors - Licensed Professional Counselors Courier Services Credit Card Processing Cycling Shop Day / Medical Spa Dentists Design Services Digital Strategy / Web Development Diversity & Inclusion Training Drug Testing Dry Cleaning Services Employment & Staffing Energy Engineering Entertainment Estate Sale Services Event Planning & Production Event Spaces Eye Care Film & Video Production Financial Planning Financial Services - Banking Financial Services - Investments & Insurance Financial Services - Investments Florists Fundraising Services Funeral Homes Funeral Services Galleries Government Offices Graphic Design Greeting Cards, ECards & Gifts Greeting Cards, Gift Wrap, Home Décor and Gift Products Gym - Physical Fitness Hair & Skin Care Health & Wellness Healthcare Healthcare IT HIV/AIDS Service Organizations HIV/AIDS Services Home Builders Home Decor & Furnishings Home Design Home Repair & Remodeling Homeless Services Hospitals Hotels - Lodging Human Resource Counseling/Consulting Individual Members Information Technology Insurance Services Interior Design Investors Jewelers Landscape Services Laundry Services Law Firms Leadership Development Training LGBT Business Enterprise (BE) Certified LGBT Community Centers LGBT Legal Services Libraries Liquor Stores Locksmiths Magicians Manufacturing Marketing - Internet Marketing Services Marketing--Consulting Marketing--Digital Marketing--Healthcare Marketing Massage Therapy Media Medical Rehabilitation Medical Services Merchant Credit Card Services Mergers & Acquisitions Mortgage Services Movie Theaters Municipalities Museums & Libraries Nail Salons Non-Profit Organizations & Resources Nutrition Counseling Office Design Office Furniture Office Supplies Online Training Ophthalmologists Other (the Chamber will contact you to discuss options) Parking Management Services Payroll Services Payroll, HR & Employee Benefits Performing Arts Pet Services & Products Pharmacies Photographers Physicians Plumbing Services Political Printing Services Professional Development Coach Professional Education Services Promotional Products Public Relations Public Utilities Publications Publishers Radio Stations Real Estate - Co-Working Real Estate - Commercial Real Estate - Development and Investments Real Estate - Inspection Real Estate - Sales Real Estate Remodeling/Design Restaurant & Catering Restoration Retail Roofing Companies Salons & Spas Security Systems & Services Software Sound Systems & Equipment Speedways Sports Teams Swimming Pool Services Tanning Salons Tax Preparation Tax Preparation, Negotiation & Representation Telecommunications Television Theatres Theatres--Cinema Theatres--Live Performance Therapists Title and Escrow Services Training, Consulting & Business Coaching Translation Services Transportation Travel & Tourism Travel Agencies Universities Universities Veterinary Services Video Production Website Development Wedding Apparel Wedding Officiant/Clergy Weddings and Events Coalition (WECo) Weight Loss Wigs & Extensions Wines & Spirits Youth Education 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. LGBT Owned LGBTBE Certified 51% or more woman owned? Current Woman Owned Business Enterprise (WBE) certification? 51% or more minority owned? Current Minority Business Enterprise (MBE) certification? Current Disadvantage Business Enterprise (DBE) certification? Current Minority owned Business Enterprise (MBE) Certification? Who Were You Referred By? * Looks good! 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. Email * Please add a valid email. Contact Preference Email Phone Address Same as Address in Step 1 Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Social Network Addresses LinkedIn Facebook Instagram Twitter YouTube Create Account This Login is already in use Login * Please add your login username. 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. Email * Please add a valid email. Contact Preference Email Phone Address Same as Primary Contact Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Social Network Addresses LinkedIn Facebook Instagram Twitter YouTube Create Account This Login is already in use Login * Please add your login username. Password * Please add your login password. Step 5: Membership Package Please select a Membership Package Principal Underwritter $ 10,000 $10,000 Annually Chairman's Level Underwritter $ 7,500 $7,500 Annually President's Level Underwritter $ 5,000 $5,000 Annually Executive Level Underwritter $ 2,500 $2500 Annually Business Leadership Membership $ 1,000 $1,000 Annually Business Premium Membership $ 750 $750 Annually Business Plus Membership $ 495 $495 Annually Business Basic Membership $ 295 $295 Annually Wedding and Events Coalition - Rainbow Membership $ 495 $495.00 Annually / Package includes a Business Basic Chamber membership in addition to your WECo Rainbow membership Wedding and Events Coalition - Celebration Membership $ 750 $750.00 Annually / Package includes a Business Basic Chamber membership in addition to your WECo Celebration membership Wedding and Events Coalition - Salute Membership $ 1,000 $1000.00 Annually / Package includes a Business Basic Chamber membership in addition to your WECO Salute membership Wedding and Events Coaltion - Inspiration Membership $ 1,500 $1500.00 Annually / Package includes a Business Basic Chamber membership in addition to your WECo Inspiration membership Non-Profit Member--100 or more employees (501(C)3 or Gov't agencies only) $ 495 $495 annually Non-Profit Member--less than 100 employees (501(C)3 or Gov't Agencies only) $ 295 $295 Annually Individual Membership $ 195 $195 Annually / Does not include a listing in the membership directory Monthly Business Basic Membership $ 28 $28.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Business Plus Membership $ 45 $45.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Business Premium Membership $ 68 $68.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Business Leadership Membership $ 88 $88.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Wedding and Events Coalition - Rainbow Membership $ 45 $45.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Wedding and Events Coalition - Celebration Level $ 68 $68.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Wedding and Events Coalition - Salute Package Membership $ 88 $88.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Wedding and Events Coalition - Inspiration Package Membership $ 135 $135.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Large Non-Profit Membership $ 45 $45.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Small Non-Profit Membership $ 28 $28.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. Monthly Individual Membership $ 18 $18.00 Monthly / Selection of this membership level requires the use of a credit or debit card for payment and your selection of automatic monthly payments. We can not approve monthly memberships that request the bill me option. This membership does not include a listing in the annual directory. Comments/Questions Payment Option Bill Me Charge my credit or debit card Please complete the Captcha Back Next Submit Application Print Application