Black Unicorn Awards for 2021
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Your First Name
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First Name
Your Last Name
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Last Name
Your Phone Number
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Please enter a valid phone number.
Are You An Agent (like a PR agency) or Are You an Employee of the Nominee?
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Please Select
Option A: I work for an agency
Option B: I work directly for the nominee
Option C: I am the nominee
Please Select The Award Categories You Are Applying For (check as many as you wish, however each one will be a unique entry and have its own entry fee)
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Top 10 Black Unicorns
Top 10 Baby Black Unicorns
Top 10 Cybersecurity Startups
Top 10 MSSPs
Top 10 Women in Cybersecurity
Top 10 Cybersecurity Experts
Top 10 Chief Information Security Officers (CISOs)
If you are applying for more than one Nominee, please provide the list, below, naming each Company, Nominee and Award Category in detail:
Example: Line 1: FireShield, Jane Smith, Top 10 Women in Cybersecurity, Line 2: FireShield, Top 10 MSSPs, etc.
Key Contact at the Company being Nominated or For People Awards (Experts, CISSPs or Women) Please Provide The Name of the Person Being Nominated
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Person being Nominated
Company being Nominated or Company that Nominee Works For....For Company Awards (Black Unicorn, Baby Black Unicorn, Startups or MSSPs) Please Provide The Name of the Company Being Nominated
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Company being nominated
If Your Nominee Wins, Please Provide USA Office (or Home Address) or Black Hat USA Shipping Information, due to COVID-19, international winners who cannot attend Black Hat USA and do not have a USA office will be given special instructions and will pay additional fees for trophy shipments including duties/customs. For Black Hat USA shipments, provide:(Guest Name) (Guest Cell Number) BlackHat USA c/o FedEx Office Business Center Mandalay Bay Resort & Casino | Delano 3950 Las Vegas Blvd South Las Vegas, NV 89119 Tel: 702.262.5320
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Key Email Contact For Shipping
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example@example.com
Key Shipping Contact Phone Number
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Black Unicorn Awards for 2021 Entry Fee (per nomination)
Black Unicorn Awards for 2021 Entry Fee (additional discounts for 5 or more entries)
$
995.00
Quantity of Nominations
1
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Item subtotal:
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