Buy From a Black Woman

First Name

Last Name

Mailing Address

Phone Number

Business Name

Business Email

Legal Structure of Business

What year did you start your business?

Have you applied for the Buy From a Black Woman Grant Before?

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?

Business Facebook

Business Twitter

Tell us about your business

What inspired you to start your business?

What brand name are you looking to get Trademarked? Why do you feel this is important?

Please share the date and location you first started using this name?

Have you or a lawyer ever try to trademark this name before?

Please share the reason why you never apply for Trademark this name before?

Please upload a screenshot showing where you are using this brand name currently.

How will the Black Woman Business Grant help advance your business?

Is there anything else we should know about your business?

How did you hear about the Buy From a Black Woman Business Grant?

If other, please list

During the “Can I Trademark That?” video, Nicole gives you a code word to use when applying. What is the word?

We Got It Black Woman!