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Member Application

Member Application

Thank you for your interest in joining the Black Chamber of Commerce of Palm Beach County. While we are the Black Chamber of Commerce, we value the diversity of our community and strive to reflect the same in our membership. We are devoted to inclusion and excellence, so we encourage you to consider becoming actively engaged with our chamber. The form below is for new members of the chamber. If you have any questions, please contact info@blackchamberpbc.com.

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Social Network Addresses

Step 2:

Additional Info
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.
Looks good!
Looks good!

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add a valid email.
Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Create Account
Please add your login password.

Step 4:

Billing Contact
Address
Create Account

Step 5:

Membership Package
Please select a Membership Package
Additional Options:
Payment Option
Apply
Please complete the Captcha
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