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Black Business List: #MyBlackReceipt
We are partnering with organizations to provide lists of businesses to buy from in your city. Please complete the form below if you want your list or your application listed. Or, if you want your business added to our list on our list from June 19 - 26, 2021.
Businesses submitted after June 19, 2021 at MIDNIGHT will be uploaded within the next 24 - 48 hours.
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* Indicates required question
In what country are you located?
*
Your answer
Your Company Name
*
Your answer
What does your company sell?
*
Your answer
Your Company Website (include
https://www
)
Your answer
Instagram Website (leave this blank if you do not have one)
Your answer
Twitter Website (type NA if you don't have one)
Your answer
How many social media followers do you have?
Your answer
Company's City (if you are outside of U.S. type of your country)
*
Your answer
Company's State (please type two letters only)
*
Your answer
Company's Zipcode (if outside of US, type country code)
*
Your answer
Is your company a for profit or nonprofit
*
Noprofit
For Profit
Other:
Is your business Black-owned
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Yes
No
Maybe
Other:
Your First and Last Name
*
Your answer
Your Email
*
Your answer
Your Phone Number (XXX-XXX-XXXX)
*
Your answer
What type of business is it?
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Online
Brick and Mortar
Other:
In what sector is your business? (for example: Education, Beauty, Hair, Techncial, Retail, Service, Restaurant, etc.)
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Apparel
Art & Artwork
Banking
Beauty and Personal Care
Educational Resources
Food and Beverage
Franchise
Professional Services
Subscription Services and Apps
Retail
Venue
Travel
Charity
Restaurant
Do you have a Black business list?
*
Yes
No
Other:
If you have a list of Black-owned busineses, link it below....
Your answer
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