WCBCC Membership Application

WCBCC Membership Application
Membership Types:

Aspire (Annual fee: $75.00) For students and other young professionals/entrereneurs.

Benefits:
- Complimentary Notary Service
- Partnered with Business Coach opportunities
- Access to Newsletter
- Business Directory Listing
- Volunteer Opportunities
Builder (Annual fee: $350.00) Established entrepreneurs seeking to grow their business.

Benefits (Includes all Aspire benefits plus):
- Ribbon Cutting
- Chamber Decal on Member's website
- Chamber Gold Seal Certificate
- Business Recognition
- Business Mentor Opportunities
- GrowthWheel choice of 1 Main challange area and 50% discount per additional challenge areas. Contact the Chamber for more information.
Growth (Annual fee: $450.00) Estabished businesses aiming to scale and be more visible in the community.

Benefits (Includes all Builder benefits plus):
- Priority Event Registration
- 5% Discount on event vendor tables
- Discounted access to workshops/webinars
- One featured spotlight in newsletter annually
- GrowthWheel choice of 1 Main challange area and 50% discount per additional challenge areas. Contact the Chamber for more information.
Legacy (Annual fee: $1,000.00) Organizations/companies seeking to connect and partner with the Chamber to actively help businesses in the community.

Benefits (Includes all Growth benefits plus):
- Quarterly strategy sessions with Chamber leadership
- Logo placement on Chamber website
- Hosting Opportunities
- Access to exclusive roundtables or leadership forums
- 2 Complimentary tickets to signature events
- Annual business feature in media or press release
- GrowthWheel choice of 1 Main challange area and 50% discount per additional challenge areas. Contact the Chamber for more information.
Forever (Annual fee: $3,500.00) Lifetime members that are invested in engaging, providing support and resources within the community.

Benefits (Includes all Legacy benefits plus):
- Seat on Advisory Council or special committees
- Custom sponsorship packages w/ speaking opportunities
- Co-branding opportunities on Chamber initiatives
- 4 complimentary tickets to signature events
- VIP access to all events (reserved seating, meet-and-greets)
- GrowthWheel access to all 4 Main challenge areas. Contact the Chamber for more information.
Membership level*

Aspire (Annual fee: $75.00)Builder (Annual fee: $350.00)Growth (Annual fee: $450.00)Legacy (Annual fee: $1,000.00)Forever (Annual fee: $3,500.00)
Member Information
Salutation*
Name*

First NameLast Name
Preferred Name (if different)
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Information
Are you a student or young entrepreneur?*

YesNo
Do you have a business?*

YesNo
If yes, is it registered in the state of Florida?*

YesNo
Legal Business/Organization Name*
EIN (Employer Identification Number)*
DBA (Doing Business As), if applicable
Business Structure*

Sole ProprietorPartnershipLLCCorporation (C-Corp / S-Corp)Non-ProfitOther
Other
Business Address (if different from mailing)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Industry Category (see examples below)*
Other*
Business Phone Number
Please enter a valid phone number.
Business Email
example@example.com
Website
Social Media Handles (Instagram, Facebook, LinkedIn, etc.)
Chamber Involvment Interests (Optional)
We encourage active participation! Please check any areas of interest:

Committees (Membership, Events, Fundraising, Advocacy, etc.)Volunteering at EventsSpeaking OpportunitiesMentorship or CoachingSponsorship/Partnership Opportunities
Privacy Disclaimer

The Wesley Chapel Black Chamber of Commerce (WCBCC) is committed to protecting your privacy. The information provided in this application will be used solely for membership processing, communication, and internal chamber activities. Your data will not be shared, sold, or distributed to third parties without your explicit consent. Certain information such as your business name, industry, website, and logo may be included in the WCBCC Member Directory or promotional materials unless otherwise requested.
Membership Agreement

By submitting this application, I acknowledge and agree to the following:
- I certify that the information provided is accurate and complete to the best of my knowledge.
- I understand that submission of this application does not guarantee membership and is subject to review and approval by the Chamber Board or designated representatives.
- I agree to uphold the mission and values of the Wesley Chapel Black Chamber of Commerce and will act in a professional and respectful manner when engaging with fellow members and the community.
- I understand that membership dues are non-refundable.
- I authorize the Chamber to contact me using the information provided for membership-related updates, opportunities, and events.
- I understand that I may update or request the removal of my information from Chamber records at any time by submitting a written request.
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Payment
WCBCC Membership Levels
prevnext( X )
Aspire
$75.00



Builder
$350.00



Growth
$450.00



Legacy
$1,000.00



Forever
$3,500.00



Total

$0.00

Payment Methods

Should be Empty: