Welcome to the Charlotte Mecklenburg Black Chamber of Commerce.

Member Application:

* Company Name:

* Phone:

Website:

* Email:

* Business Description (200 char max)

* Physical Address:

* City/State/Zip:

Country:

Mailing Address:

Same as physical address

City/State/Zip:

Country:

* Business Category:

* Employees:

Full-time: Part-time:

Comments/Questions:

Primary Contact Information:

* Name (First / Last):

/

Title:

* Phone:

Cell Phone:

Fax:

* Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn:

Facebook:

Address:

Same as Company Address

City/State/Zip:

Country:

Billing Contact Information:

Same as Primary Contact

* Name (First / Last):

/

Title:

* Phone:

Cell Phone:

Fax:

* Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn:

Facebook:

Address:

Same as Company Address

City/State/Zip:

Country:

Membership Package:

	Individual & Solopreneurs: $100.00 Individual & Solopreneurs
	Entrepreneur/Small Business (11-50): $400.00 Entrepreneur/Small Business (11-50)
	President's Club Member: $2,500.00 President's Club Members
	Senior Advisory Council Member: $5,000.00 Senior Advisory Council Members
	Student Member: $25.00 Student Members
	Senior Member: $25.00 Senior Members
	Premier Business: $1,500.00 Premier Business Members
	Entrepreneur/Small Business (1-10): $250.00 Entrepreneur/Small Business (1-10)

Additional Opportunities:

We will contact you with additional information.

Charlotte Chamber Membership

Payment Option:

Charge my credit card

Submit Application:

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