Black-Owned Business Registration

The Black Lens will review all registrations for eligibility.

Name *

First

Last

Phone *

Business Name *

Type of Business *

Year Business Started? *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL

Would you like to be added to our Black Business Directory? (There is no charge)

Any other Black Owned Businesses that we should contact? Leave their information in the space below.

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