General Information

Business Name: *
Business Description: *
Organization Contact: *
Position Title: *
Category:
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Contact Info

Phone: *
Website:

Social Networks

Business Hours

Media

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Location

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City:
Address: *
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    Other Info

    How long has your organization been in operation:
    Do you currently offer services to members of the LGBTQIA+ Community?:
    Do you offer products or services created exclusively for members of the LGBTQIA+ community?:
    Do you have members of the LGBTQIA+ community represented on your website & social media?:
    Do you have or could you obtain testimonials from members of the LGBTQIA+ Community?:
    Are you willing to offer Tips & Advice to the BGW Community?:
    Are you willing to be interviewed on camera or by remote video?:
    Would you be willing to join an Instagram live or live community Q&A sessions?:
    Would you be willing to write opinion articles for magazines and websites?:
    Why would your organization be a great fit for our community?:
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