Black-Owned UAE Business Registration Form

Register Your Business

Please provide all required details to register your business with us.
Name*

First NameLast Name
Business Name*
Phone Number
WhatsApp Number
E-mail*
Business Instagram*
Please do not add the @ sign
Website
website link
Business Location*
Select your home base location
Type of Business*
Select all options that apply to your business
Service-Based Business*
Select all options that apply to your business
Others
If we have not listed your business category, use this space to add it here.
Check all that apply

HandmadeEco-Friendly/ SustainablePlus Size Options AvailableVegan/ VegetarianModestOther
Business Address

Google Pin Location

Street Address Line 2

CityState / Province

Postal / Zip Code
Select all that apply to your business location

Brick & MortarVirtual/ MobileI also rent out my space for eventsOther
Additional Info
Any additional information you would like to share
If you would like to refer other Black-owned businesses based in the UAE, add their information here.
Separate by commas
Message/ Note
Would you like to be featured in the Black-Owned UAE Newsletter?*

yesno
Would you like to offer discounts to Black-Owned UAE community members?*

yesno
By checking this box, you certify that the business in this form is a Black-owned business. By definition, this means at least 51% of the ownership of this company is owned by a Black person.*

yes
Should be Empty:

Register Your Business