Name of Organization:
Number(s) (Home, Office, Cell)
How did you hear about Juneteenth.com:
Majority Age Group of members:
31 - 45
Race / Nationalities of members:
Number of years celebrating Juneteenth:
*Tell us about your organization (age, size, mission,
Juneteenth activities, etc.):
your Juneteenth event funded?
organization interested in sponsorship for your
Juneteenth events? If yes, are there particular
areas/expenses in which you would direct such funds?
Approximately, how many people attend your event?
the activities that are typically hosted at your
Approximately, what is the budget for your
Juneteenth event? $
items does your organization typically spend money in
preparation for your Juneteenth event?
do you typically sell at your Juneteenth event?
recruit local or national talent to perform at your
event covered by local or national media?
have an estimated economic impact of your event?
*Are you a member of or affiliated with any
other national Juneteenth organizations? If yes, please list affiliations, if no
please state "none":
Would you like to receive
information from other national Juneteenth organizations?
(Yes / No)
we would like additional information on the Juneteenth World Wide Celebrations products to
accessorize our event.
Suggestions for the Juneteenth.com Web Site: