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Email
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Your email
Name
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Your answer
Business Name
*
Your answer
Is this Business Woman Owned?
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Yes
No
How do you identify?
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Black / African American / Caribbean
Hispanic / Latinx
Asian
American Indian/ Alaska Native
Pacific Islander / Hawaiian Native
White
What Industry is your Business?
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Your answer
Where is your Business located?
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Your answer
What is your Business website?
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Your answer
Brief description of you/your Business.
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Your answer
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