Contact us to join our Community Coalition

Not Just A Black Body wants to hear from the community.
Use this form to reach out to use for an event for your local community to help
educate, empower, and equip your organization with information it needs.
We will reach out to you to set up a meeting with your senior leadership
to do a needs assessment and determine how we can work together.

Name of Organization
Field is required!
Field is required!
Your E-mail Address
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Field is required!
Website
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Field is required!
Specific concerns or request
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Field is required!

For Event Bookings, provide the following addition information:

Name of Event planned
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Field is required!
Mission/Goal
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Field is required!
  • - select type of event -
  • Keynote
  • Webinar
  • Workshop
  • Panel
  • Other
- select type of event -
Field is required!
Field is required!
Select a potential date of event
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Field is required!
Budget
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Field is required!

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