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* 1. Let's get to know you.

If you have a Woman Owned and/or LGTBQIA2S+ Owned small business and would like to be considered for a spot on our site, please answer the questions below. Thank you.

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* 2. What is your role in the company?

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* 3. Is the company Woman-Owned certified?

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* 4. Is the company LGTBQIA2S+ certified business?

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* 5. How does the owner of the company identify? [Select all that apply.]

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* 6. What is the location for your small business? If it does not have a location, please leave blank. 

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* 7. What is your website URL? Social Media? Contact Information? 

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* 8. Please insert a photo you would like to be displayed. If a photo is not provided we will select one from your website.

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* 10. Do any of your proceeds get donated to organizations? If so, which ones?

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