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* 1. Please enter your diverse-owned business recommendation here.

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* 2. Who is the owner of this business?

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* 3. What is the best email address to reach the owner at?

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* 4. Please enter your name and title.

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* 5. Would you like to offer a personal endorsement message for this organization (to be featured on our website, newsletter, and social media)?

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* 6. If the answer to the above question is yes, please provide the best email address to reach you at.

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