Juneteenth Pop-Up Opportunity Interest Form 
Thank you for indicating your interest in the Juneteenth Pop-up shop opportunity for black woman-owned small businesses. Kindly fill the form with your details and we will revert to you once we receive it.
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Business Name *
What products/services are you showcasing at the pop-up? *
What days do you wish to exhibit at the pop-up? 
Where do you operate your business?  *
Contact info
Your name *
Phone number *
E-mail *
Preferred contact method *
Required
What are your social media handles? (Please indicate whichever ones you have: Instagram, Twitter, TikTok, Facebook) *
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