Individual/Professional Membership Application

Instructions

Please fill out the application below to become a member of the Harmony: NC LGBT+ Allied Chamber of Commerce!

Select An Option

Individual / Professional / Students

Select Level

Individual or professional membership for non-business owners. Student membership limited to age 25 or under with active enrollment.

Note: Upon receipt of a student membership application, you will receive instructions via email on how to submit proof of active student status. Your membership will not be activated until documentation has been received.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist