NAD Entity Registration Form

NAD Connector

Please complete the form below to add an African immigrant owned/operated/serving entity in the US to the NAD Connector database.

Name of Entity:

Type of Entity: (select one)

Non-Profit Entity

For-Profit Entity

Type of Services or Products(For-Profit): Type of Services or Products(For-Profit):

Type of Services or Products(Non-Profit):

Street or P.O. Box

City

State

Zip Code

Email Address of Entity

Phone Number of Entity

Website/URL

Facebook

Twitter

Instagram

Name:

Email Address:

Are you the owner/operator of this entity?

Yes

Name of Owner

Email Address

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