Name * First Name Last Name Email * Phone * (###) ### #### Will you be in attendance? Yes No Maybe Occupation * Creative (e.g., artist, musician, writer, etc.) Small Business Owner Organizer Community Member Business Consultant Organization Business Government Official Other Organization/ Business Name: How Did You Hear About This Event? Local buisness Social Media Panellist Hey Black Seattle Friend/Family Other Please keep me informed about future: Check all that apply. Business/Marketing/Finacial Events Social Events/Gatherings Performances Art Exhibits Community Initiatives Thank you!