We're New! Yes, we're just getting started uniting the LGBTQ community in Henderson, NC, Vance County, surrounding counties and beyond! DON'T WAIT! Join now and grow with us!
Henderson NC LGBTQ Membership Interest Form
Please enter your info below. You will be contacted within 48 hours!
==>Section A: Purchaser info
Name
*
First Name
Last Name
City
*
State
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Age
*
Please Select
20 & Under
21-25
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65
66-70
71-75
76 & Older
Birthday
Preferred Social Media Platform?
Facebook
Instagram
TikTok
All Of The Above
Other
Other
Account name(s) (TikTok, Facebook and/or Instagram) - We check these by scrolling back through your history to confirm your identity and profile pic and exclude lurkers, trolls and scammers.
How did you hear about us?
Latonya "The Boss Lady"
Chef D & Eva, owners, TruSoul Kitchen & Catering
Suzy Geronimo, owner, FUM
Kimora Brooks, Featured Female Impersonator
Nation Tyre, Featured Male Impersonator
Iman C. Coutour, Featured Female Impersonator
Other
Do you have an special needs? (ie. wheelchair access, special diet requests, allergies)
*
No
If yes, please describe below
Describe any special access needs:
Are you a business owner?
Please Select
Yes.
No.
No, but I'm currently getting a business started.
No, but I'm interested in starting a business
If you are interested in networking please describe your business:
Are you a artist or entertainer?
Please Select
Yes, I'm an artist.
Yes, I', an entertainer.
No.
If yes, describe your artistry or talent.
Do you have expertise/degree/experience in a topic or hobby that you might want to share with others? If so, describe below. (This does not obligate you to anything.)
Name 3 topic groups you are interested in joining. ie. A walking group, a singles meetup group, a writing group, a football fans group, etc.
Select the topics you wish to gain from joining Henderson NC Pride.
Make new friends.
Start a new relationship.
To have a place to let your hair down.
To watch live LGBTQ entertainment.
To connect with resources.
To protect the members of the LGBTQ community.
To network business with other LGBTQ and allies.
To support LGBTQ-owned small businesses.
To learn new things.
To get motivated.
To motivate others.
Other
Other:
Thank you for taking this time to connect with us. You will be contacted within 48 hours!
Signature
Check Out
Check Out
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