Kuumba Collective Service Inquiry Form
Thank you for considering Kuumba Collective as your chosen collaborative partner! We look forward to conversing about you and your business needs. Please complete this form and one of our Masterminds will contact you soon.

Feel free to contact us anytime via email (info@kuumbacollective.com) or phone (612-900-0553).

Primary Contact Information
First Name *
Last Name *
Contact Preferred Email *
Contact Preferred Phone *
Please enter the phone number, including area code, which you will like to be contacted.
Best time(s) to call
Select the best day(s) and time(s) to call and discuss your business needs.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning (7 am - 11 am CST)
Midday (11 am - 2pm CST)
Afternoon (2 pm - 5 pm CST)
Evening (5 pm - 8 pm CST)
Company/Organization Information
Company/Organization Name *
Company/Organization Address *
Enter the full Street Address for the company/organization headquarters or primary office. Include the City, State, and Zip Code. Write n/a if not applicable.
Primary Company/Organization Phone
If the primary company/organization phone is different than the preferred contact phone listed above, list here. Include area code.
Primary Company/Organization Email
If the primary company/organization email is different than the preferred contact email listed above, list here.
Company/Organization Website
Social Media
We would like to connect with via social media! If you don't have social media, no worries. We can connect other ways.
Facebook
How can we connect with your business on Facebook? Please provide a link to your business Facebook page.
Instagram
How can we connect with your business on Instagram? Please provide a link to your business Instagram page.
Twitter
How can we connect with your business on Twitter? Please provide a link to your business Twitter page.
Business Industry *
Choose the industry your business operates within. Check all that apply.
Required
Service Inquiry
How can Kuumba Collective assist you in reaching the next level? *
Tell us a little bit about your project/business needs and how you will like us to assist.
What services might your company/organization benefit from? *
Check the services that may be beneficial now and in the future.
Required
What area of expertise will be the focus of our work together? *
Check all that apply.
Required
How did you hear about us? *
Would you like to subscribe to Kuumba Collective's Newsletter and stay in the loop of what we're up to? *
You'll receive information on promotions, upcoming events and workshops, new service offerings, etc.
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