Black Unicorn Awards for 2019 Nomination Contact Form

Part I of 2: Contact Form

Please fill out this contact form, then download the official nomination form and send to our panel of judges. Take your time and get it correct the first time, please. It's very important.
Name of Company being Nominated for a Black Unicorn Award*
Short Company Description (What is their official tagline):*
Short description of the company, preferably their tagline or vision statement.
Company Website (URL):*
What is the Nominee's web address?
Upload The Official Highest Res Logo of the Company Being Nominated

2. Nominee Information (correct spelling required - case & spacing sensitive - it's up to you to get it right for their award, if they win)
Nominee's Name*

CompanyExecutive
Nominee's Company Main Phone Number*

Area CodePhone Number
Nominee's E-mail Address*
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Your Information
Your Name

First NameLast Name
Your E-mail Address
Your Phone Number

Area CodePhone Number
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Will the nominee or a representative be attending Black Hat USA 2019 in Las Vegas, NV, USA specifically on August 7th?*

YESNO
Would the nominee be available for an award digital photograph shoot and CyberDefense.TV video shoot during BlackHat (20 minutes turned into a 5-7 minute high quality video hosted at CyberDefense.TV website)*

YESNO
Have You Paid the Entry Fee Already?*

YESNO
Are you aware that Black Unicorn Awards 2019 Entrants Have the Option to leverage additional co-marketing programs, deeply discounted between now and Black Hat USA 2019?*

YESNO
Part 2 of 2: Official Nomination Form
Please DOWNLOAD the Official Nomination Form - It's a Two Page Microsoft Word Document. It is critical to the Judging and Nomination process that you download this file, follow the instructions within the file and email the final version to nominations@blackunicornawards.com as quickly as possible to give the Judges ample time to review it. Once you have finished filling out this short Nomination contact form and downloaded this file, please click the button below.
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Part I of 2: Contact Form