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The Black Woman
Copyright Grant
First Name
Last Name
Email
Mailing Address
Phone Number
Business Name
Business Email
Legal Structure of Business
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Sole Proprietorship
Partnership
Corporation
Limited Liability Company
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What year did you start your business?
Have you applied for the Buy From a Black Woman Grant Before?
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Yes
No
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Business Website
Business Instagram
Business EIN Number
What business industry do you best identify with?
To date, how much profit has your business made? What is your best seller? What item is not moving at all? If none, please write “none”.
Did you apply for the PPP Loan?
Choose an option
No.
Yes, and I was approved.
Yes, I was denied.
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Business Facebook
Business Twitter
Tell us about your business
What inspired you to start your business?
What creative work are you trying to get legally protected?
Have you sold this work anywhere?
During the “Can I Trademark That?” video, Nicole gives you a code word to use when applying. What is the word?
How will the Black Woman Business Grant help advance your business?
Is there anything else we should know about your business?
Please upload a screenshot of the creative work you are wishing to copyright.
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How did you hear about the Buy From a Black Woman Business Grant?
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The Buy From a Black Woman Instagram Page
The Buy From a Black Woman Facebook Page
The Buy From a Black Woman Twitter Page
The Buy From a Black Woman Email
Other
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If other, please list
