MBCC Membership Application
Membership Application for the Maryland Black Chamber of Commerce
Email address
How did you find out about MBCC?
Company Name
Your answer
How many people are currently employed in the firm/organization?
How would you best describe your business/affiliate organization?
Is your business owned by a minority?
Contact Name
Your answer
Web Site Address
Your answer
Company Address
Your answer
City
Your answer
County
Your answer
State
Required
Zip Code
Your answer
Telephone
Your answer
Email Address
Your answer
Description of Services
Your answer
Do you currently hold any of the following certifications?
Which MBCC committee(s) are you interested in joining? (Select at least 1)
Required
Are you currently a member of one of our partner organizations or other minority chamber?
Required
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