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Name: *

First

Last

Job Title: *

Email *

Business Name: *

Business Email: *

Main Website: *

Established Date: *

Business Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Business Category: *

Certified LGBTBE: *

YES
NO

51% LGBT Owned: *

YES
NO

Business Diversity Is your business 51% owned and operated by one of the following: *

Number of Employees Company-Wide: *

Number of Full Time Employees in Henderson: *

Membership Level: *

Tier 1 - For companies with 1-25 employees - $ 250.00
Tier 2 - For companies with 26-100 employees - $ 500.00
Tier 3 - For companies with 101+ employees - $ 750.00
Small Non-Profit - For non-profits with less than $2,500,000 in annual gross revenue - $ 150.00
Large Non-Profit - For non-profits with more than $2,500,000 in annual gross revenue - $ 50.00
Student - For Students - $ 50.00

Total

$ 0.00

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GET IN TOUCH

The LGBT Chamber of Commerce of Henderson
1490 W Sunset Rd Suite 120
Henderson, NV 89014

855-955-5428

Info@LGBTCCH.org

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