Member Application

Thank you for your interest in joining the Wisconsin LGBT Chamber of Commerce. Membership with the Wisconsin LGBT Chamber will provide tremendous access to consumers and to other businesses. This is a terrific way to grow your organization.

You'll be able to fill out the application below and then pay by credit card. If you have any questions, please do not hesitate to contact us at (414) 678-9275.

Please note: Wisconsin LGBT Chamber of Commerce membership dues may be deductible for federal income tax purposes as an ordinary and necessary business expense (not as a charitable contribution).

Business Information

Company Name: *

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Phone:

Website:

Email:

Business Description (200 char max):

Directory Category:

Business Keywords (enter a space between words):

Physical Address

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City:

State:

Postal Code:

Country:

Mailing Address

Same as physical address

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Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name:

Last Name:

Phone: *

Email: *

Contact Preference:

Email Phone

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