Member

Thank you for your interest in becoming a member of the Minnesota Black Chamber of Commerce! For more information about membership including, benefits, types of memberships and rates, please visit the Membership Page on our website. To apply for membership, simply complete the online application below.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

If OTHER, Enter Your Business Category:

Mobile Phone:

Fax:

Number of Employees: *

Please indicate type of membership: *

Year Company Started: * Select mm/dd/yyyy

I give permission to the MBCC and its affiliates to use identifiable information including photographs about my business for educational or promotional purposes on its website, social media, e-blast, and collaterals. Your address and e-mail address will only be used within the MBCC and its affiliates. MBCC does not sell or rent your identifiable information. I give permission the MBCC to use my business name, contact information, and description of services in its member directory. : *

Date: * Select mm/dd/yyyy

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:

Email:

Password: *

Print Application

Member Application

Mailing Address