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Black is Beautiful Application
Please fill out this form to be included on the Black is Beautiful website.
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Email
*
Your email
Brewery Name
*
Your answer
Contact Name
*
Your answer
Brewery City
*
Your answer
Brewery State
*
Your answer
Brewery Country
*
Your answer
Brewery Website
*
Your answer
What do you intend to do with the money?
*
Your answer
Charity Website
Your answer
Intended Release Date
*
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