GENERAL MEMBERSHIP APPLICATION – Westchester Multicultural Chamber

GENERAL MEMBERSHIP

Membership Level *Small Nonprofit Organization (1-19 full-time employees)Large Nonprofit Organization (20+ full-time employees)1 Employee2 - 9 Employees10-19 Employees20 - 200 Employees201+ EmployeesChairman's ClubSelect Your Renewal Option

Calculations

Organization Information

This is the information that will appear on the Chamber's Online Member Directory

Name *

Business Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Mailing Address ( if different)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address *

Website

Phone *

Office Phone

Cell Phone

Prefered Method of ContactEmailPhone

Instagram

Business Category

Business Category *

Company Classification Details

Organization NAIC Code

Number of Employees *

Minority Business Certified

WMBE CertifiedMBE CertifiedWould Like to ApplyNA

Special Listing Classification

Minority Business Type *At least 51% owned, managed and controlled by an individual who is 25% or more Asian IndianAtAt least 51% owned, managed and controlled by an individual who is 25% or more Asian-PacificAt least 51% owned, managed and controlled by an individual who is 25% or more BlackAt least 51% owned, managed and controlled by an individual who is 25% or more HispanicAt least 51% owned, managed and controlled by an individual who is 25% or more Native AmericanNASelect One

Additional Special Listing Categories:

Additional Special Listing Categories: *Organization that is fully able to conduct business in the Spanish language.At least 51% owned, managed, and controlled by a veteran of the United States military.At least 51% owned, managed, and controlled by a womanNA

Areas of Interest

Please Select any of the following:

Areas of Interest

Please Select any of the following:

Referral

Please tell us who referred you to the WMCC:

Application Payment

Name On Card

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Card Holder's Email

For Credit Card Payments select STRIPE

Payment TypeStripeCheck

$10.00 PROCESSING FEE *

I ACCEPT

Calculations

Credit / Debit Card *

AUTO RENEWA

Automatic Renewal: Check here to automatically charge this credit card each year for this amount.

Auto Renewal

YesNo

Personal Account Creation

Username *

Email *

Password *

WMCC Membership Application

Organization Information

This is the information that will appear on the Chamber's Online Member Directory

Mailing Address ( if different)

Business Category

Company Classification Details

Minority Business Certified

Special Listing Classification

Additional Special Listing Categories:

Areas of Interest

Please Select any of the following:

Areas of Interest

Please Select any of the following:

Checkbox *

Checkbox

Referral

Application Payment

$10.00 PROCESSING FEE *

Auto Renewal

Personal Account Creation

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