Organisation Export Form

1
Name of organisation* This field is required.
2
Type of organisation* This field is required.
Artists Management Services
Funding Body
Export Office
Live Music Event Producer - Festival, Trade show, concert promoter
Government Organisation
Record Label
P.R.O / Royalty / Publishing society
Talent Development Program / Organisation
University / Educational Institute
Venue
Other
3
Main Contact Person* This field is required.
First Name
Last Name
4
Email* This field is required.
example@example.com
5
How did you hear about us?* This field is required.Select One
Please Select
Please Select
BLACMEX website
BLACMEX representative
WhatsApp Group
LinkedIn
Social Media - facebook, Instagram etc
Search Engine
Word of Mouth
Talent Development Program / Organisation
Government Program /Organisation
Music Industry Event
6
At which music industry event did you learn about BLACMEX?* This field is required.Please provide the name of the event and date
7
Phone Number* This field is required.
Area Code
Phone Number
8
What Country is your organisations registered in? * This field is required.Use dropdown menu to search
9
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
10
Please tick the following box to provide BLACMEX consent to process data for administrative purposes* This field is required.
Express consent given
11
Tell us the size of your organisation* This field is required.
2-10 employees
11-25 employees
26-40 employees
41-60 employees
100+ employees
200+ employees
12
What percentage of your organisation are global majority?* This field is required.Scroll and select
Please Select
Please Select
Under 10%
10-30%
40-60%
70-100%
13
What percentage of your organisation Identify as Black ?* This field is required.This including Black mixed with other ethnic groups
Please Select
Please Select
0-10%
10-20%
20-50%
50-80%
80-100%
14
What percentage of your organisation identify as disabled (seen or unseen)?* This field is required.Scroll and select
Please Select
Please Select
0-10%
10-30%
40-60%
70-100%
15
Please provide the percentage gender breakdown of your organisation* This field is required.Complete with all fields with numbers only. Use zero where applicable
16
Root Genres* This field is required.Scroll and select all represented genres
Please Select
Caribbean
Christian/ Gospel
Classical
Electronic
Folk/Traditional
Hip Hop
Jazz
Latin Music
Pop
R&B / Soul
Rock/Metal
17
Does your organisation offer grants to music creators?
Yes, we provide grant funding
No grant funding provided
18
How many funding rounds do your offer annually?
1-5
6-10
10+
19
Useful informationPlease provide any useful information or leave blank
20
Details of our research data collection and privacy policy ; See Research Data Collection and Privacy Policy according to United Kingdom GDPR & Data Protection Act. Where your email address and name have been consented and submitted, you can unsubscribe at any time by clicking the unsubscribe link at the bottom of correspondence or by emailing written notice info@blacmex.uk. Click the box to consent the above information.* This field is required.Our Policy: Research Data Collection https://www.blacmex.uk/datacollection-policy and Privacy Policy https://www.blacmex.uk/privacy-policy
I, consent the my information above
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