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
- 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
- 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?
- 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)
- Have You Paid the Entry Fee Already?
- 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?
- 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.
- Should be Empty:

Part I of 2: Contact Form

Part 2 of 2: Official Nomination Form