Equality Business Alliance Application Please enable JavaScript in your browser to complete this form.We are relaunching the Equality Business Alliance! Using community feedback, we’re updating our membership structure to provide more value to our members and better connect them with the greater Oklahoma 2SLGBTQIA+ community. I am joining as a: *Business / OrganizationCommunity Member / AllyBUSINESS INFORMATION Business/Organization Name *Name *FirstLastTitle/Role *Email *Phone *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWebsite *Number of Employees *12-56-1516-5051+Category that best describes your business *Advertising | NewspapersArts | Entertainment | MediaAutomotive Repair | ServiceBusiness Development | ConsultingCleaning | Janitorial ServicesCommunity | EducationComputer | Tech | Web ServicesHealth | Wellness | Care ServicesHome | Garden | Interior ServicesLegal | Finance | InsurancePersonal Care | BeautyPets | Animal ServicesReal Estate | Property ServicesRetail | Specialty ShopsSports | Fitness | RecreationTravel | Lodging| EventsHealth ServicesDo you want to be listed in the EBA Directory? *YesNoEBA Directory Listing Display Name (if different from above)Preferred Public Contact Email (if different from above)Perferred Public Contact Phone Number (if different from above)Description of your business as you would like it displayed on the EBA website: *Map ListingInclude my location in the EBA map directoryDo NOT include my location in the EBA map directorySocial Media LinksBusiness Logo Drag & Drop Files, Choose Files to Upload Please upload a high quality PNG, JPG, or GIF of your logo to be displayed on the EBA website.Business/Organization Membership OptionEBA Business/Org Member (Annual) - $400.00EBA Business/Org Member (Monthly) - $40.00Community Member/Ally Membership OptionEBA Community Member (Annual) - $150.00EBA Community Member (Monthly) - $15.00I'm interested in collaborating with 2SLGBTQ+ artists, vendors, or contractors. *YesNoMaybeI'm interested in mentoring or creating pathways for queer and trans job seekers.YesNoMaybeEBA Pledge and Agreements *We affirm the dignity, safety, and full humanity of 2SLGBTQIA+ people. We are committed to operating our business free from discrimination and to treating all individuals with respect, including honoring people’s identities, names, and pronouns.We strive to create an inclusive workplace and customer experience, remain open to ongoing learning and growth, and engage with the queer community in intentional and meaningful ways.Through our participation in the Equality Business Alliance, we commit to transparency and accountability, recognizing that this work is an ongoing relationship grounded in care, impact, and shared responsibility.I will not use the EBA Member Directory for unsolicited marktingI understand that EBA participation may be paused or revoked if my business acts in ways that conflict with the Pledge.How did you hear about the EBA? *Past EBA memberOKEQ social mediaDirect outreach from OKEQ staffEmail newsletterAttended a mixer or eventReferred by someoneOtherWho referred you? *Anything you would like us to know before you get started?Stripe Credit Card *Submit
