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1
Contact Name #1
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Point of Contact
First Name
Last Name
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2
Contact Name #1
Title
Ex. CEO, President, Organizer, Advocate, etc…
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3
Contact Name #2
Point of Contact
First Name
Last Name
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4
Contact Name #2
Title
Ex. Assistant, Operations Manager, etc…
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5
Upload your logo
This must be clear and professional
Business card
Logo
Professional headshot
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6
Category #1
Select
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Advocacy
Agricultures
Architecture
Artist / Graphic Design
Author
Automotive sales
Automotive mechanics
Bakery
Barbershop / Beautician
Bookstore
Business support services
Business / Office supplies
Clothing
Community Building
Computers
Consultant
Construction
Contractors
Delivery Services / Ride Share
Education
Electricians
Engineering
Entertainment
Environmental
Fashion
Finances
Food Services
Geography
Health and Medicine
Home Improvement
Home and Garden
Legal
Manufacturing / Wholesale / Distribution
Marketing & Communications
Mental Health
Mentoring
Merchant
Music Producer / Beats
Personal Care and Services
Photography / Videographer
Podcast / Online Talk Show
Realtor / Broker
Social Media Management
Spiritual Counseling / Marriage Ceremony
Religion / Spiritual
Transportation
Website Design and Maintenance
Wholistic Health
Virtual Assistant
Vlogger
None
Please Select
Please Select
Advocacy
Agricultures
Architecture
Artist / Graphic Design
Author
Automotive sales
Automotive mechanics
Bakery
Barbershop / Beautician
Bookstore
Business support services
Business / Office supplies
Clothing
Community Building
Computers
Consultant
Construction
Contractors
Delivery Services / Ride Share
Education
Electricians
Engineering
Entertainment
Environmental
Fashion
Finances
Food Services
Geography
Health and Medicine
Home Improvement
Home and Garden
Legal
Manufacturing / Wholesale / Distribution
Marketing & Communications
Mental Health
Mentoring
Merchant
Music Producer / Beats
Personal Care and Services
Photography / Videographer
Podcast / Online Talk Show
Realtor / Broker
Social Media Management
Spiritual Counseling / Marriage Ceremony
Religion / Spiritual
Transportation
Website Design and Maintenance
Wholistic Health
Virtual Assistant
Vlogger
None
Select One
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7
Category #2
Select
Please Select
Acupuncture
Assisted Living & Home Care
Attorney
Artwork (Original)
Beauty Supplies
Beverage
Boutique Owner
Catering
CDL
Charter
Church
Commercial Sales
Crafting
Credit Repair / Taxes / Payroll
Curriculum Design
Electrician / Engineering
Event Planner
Family Services
Home and Land Sales
Home furniture
HVAC
Interior Design
Inspector
Insurance
Jewelry
Law Enfircement
Lawn Care
Nail Salon
Pest Control
Pool Services
Physical Trainer
Plumbing
Publishing Printing
Research
Roofing
Seamstress / Stylist
Security Systems
Shoes / Clothing
Tattoo Artist
Technology AI / Software Dev / WebDesign
Towing
None
Please Select
Please Select
Acupuncture
Assisted Living & Home Care
Attorney
Artwork (Original)
Beauty Supplies
Beverage
Boutique Owner
Catering
CDL
Charter
Church
Commercial Sales
Crafting
Credit Repair / Taxes / Payroll
Curriculum Design
Electrician / Engineering
Event Planner
Family Services
Home and Land Sales
Home furniture
HVAC
Interior Design
Inspector
Insurance
Jewelry
Law Enfircement
Lawn Care
Nail Salon
Pest Control
Pool Services
Physical Trainer
Plumbing
Publishing Printing
Research
Roofing
Seamstress / Stylist
Security Systems
Shoes / Clothing
Tattoo Artist
Technology AI / Software Dev / WebDesign
Towing
None
Select One
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8
Other
Category
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9
Phone Number
Preferably a number where people can leave a voicemail or text message
Please enter a valid phone number.
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10
Location
City, State
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11
Website
No social media
Website
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12
Email
*
This field is required.
example@example.com
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13
Social Media
Instagram
Instagram
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14
Social Audio
Clubhouse, FaceBook, Chatter
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15
YouTube
Add link
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16
Suggest Another Black Owned Business or Organization
We’re better together
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quote
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Should be Empty:
The Little Black L.A.B. Book
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