Member Application
Thank you for your interest in the Maryland Black Chamber. If you have questions, please call 301-744-9088 or email us directly at info@marylandbcc.org.
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
Email:
*
Directory Category:
*
--- Select Primary Category ---
Accountants
Advertising/Promotions
Agriculture
Antiques/Estate Sales/Consignments
Apartments
Architectural Design & Building
Art Galleries
Arts & Crafts
Assisted Living
Attorneys
Author
Automotive
Banks & Credit Unions
Beauty Salons/Spas
Books & Stationery
Car Rentals
Carpets & Interiors
Childcare
Childrens Clothing/Toys
Chiropractors
Churches
Cleaning Services
Clothing/Shoes
Coach - Business
Coach - Life/Executive
Commercial Real Estate
Community Organizations
Computer Service/Sales
Construction Management
Consultants
Contractors
Counseling
Country Clubs
Dance
Dental
Drug & Variety Stores
Dry Cleaners
Education
Elected Officials
Entertainment
Event Planning
Event Space/Co-Working Space
Financial & Investment Services
Fishing
Fitness
Florists
Food & Beverage/Catering
Forestry
Funeral & Cremation Services
Gifts & Specialty Items
Government
Graphic Design
Grocery Stores
Hardware
Holistic Health
Home Furnishings
Hospitals & Clinics
Hotels/Motels
Human Resource Services
Information Technology
Insurance
Interior Design
Jewelry
Landscaping
Legal Services
Liquor Store
Mail Services/Shipping
Manufacturing & Production
Marine Charters, Sales & Service
Marketing
Massage Therapy
Medical Supply
Medical, Dental & Nursing Care
Mortgage Banking
Office Furniture & Supplies
Optical Services
Payroll Services
Personal Services
Pets
Photographers/Photo Finishing/Framing
Press/Publications/Radio
Printing & Typesetting Services
Promotional Items
Property Leasing & Management
Public Relations
Real Estate Services
Residential Real Estate
Resorts
Restaurants
Restaurants & Specialty Dining
Security Services
SEO/Search Engine Optimization
Shopping Centers
Signs & Banners
Sporting Goods
Storage
Tax Preperation
Taxi
Telecommunications
Title Services
Travel Agencies
Utilities
Veterinarians
Website Design
Wholesale
Employees:
*
Full-time
Part-time
Comments / Questions:
County:
*
Montgomery
Frederick
Howard
Prince George's
Baltimore
Charles
Anne Arundel
Washington
How did you learn about MBCC? :
*
Current MBCC Member
Economic Development/Local Government Official/Representative
US Black Chamber
Event
Website Search
Other
Who referred you to MBCC?:
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Email:
*
Contact Preference:
Email
Phone
Social Networking:
LinkedIn
Facebook
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Email:
*
Contact Preference:
Email
Phone
Social Networking:
LinkedIn
Facebook
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
MBCC Annual Membership (1 - 5 employees)
:
$150.00
This is an annual membership for the Maryland Black Chamber of Commerce for companies with 1 to a maximum of 5 employees.
MBCC Annual Membership (6-10 employees)
:
$250.00
This is an annual membership for the Maryland Black Chamber of Commerce for companies with 6 to a maximum of 10 employees.
MBCC Annual Membership (11-20 employees)
:
$350.00
This is an annual membership for the Maryland Black Chamber of Commerce for companies with 11 to a maximum of 20 employees.
MBCC Annual Membership (21-30 employees)
:
$450.00
This is an annual membership for the Maryland Black Chamber of Commerce for companies with over 21-30 employees.
MBCC Annual Membership (over 31+ employees)
:
$750.00
This is an annual membership for the Maryland Black Chamber of Commerce for companies with over 31+ employees.
Payment Option:
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