Exit

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* 1. Name

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* 3. Phone (optional)

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* 4. Do you currently own a business or offer a service ?

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* 5. If yes, what is the name of your company/organization?

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* 6. What is your business' social media handle?

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* 7. What sector of business are you in?

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* 8. What city is their business located in?

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* 9. Do you consider your company more that 50% “black-owned”?

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* 10. Are you woman-owned business?

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* 11. Do you follow any of the these dietary restrictions? (Please select all that apply.)

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* 12. How did you hear about this event?

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