EBA Membership Form 2026

Membership

Contact Info

I am donating as a...

Business/Organization Name

First Name

Last Name

Street Address

Unit or Apartment Number

City

State or Province

Postal Code

Country

Phone Number

Email Address

Yes, I would like to receive email communications.

Directory Listing Information

Organization Logo for Directory

Social Media Links

Values & Affirmation Pledge

EBA 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 understand that EBA participation may be paused or revoked if my business acts in ways that conflict with the Pledge.

I will not use the EBA Member Directory for unsolicited marketing

Referral & Discovery

Anything you would like us to know before you get started?

Payment

Card Number

Expiration Date

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account Type

Checking

Savings

Billing Street Address

Billing Unit or Apartment Number

Billing City

Billing State or Province

Billing Postal Code

Billing Country