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Tell Us About You

We are always looking to partner with great media companies and publishers.
Please complete the form below for consideration. Must complete entire application to be submitted.

* Required

Contact Information

First Name*

Last Name*

Email Address*

Job Title*

I am looking to monetize my..
Blog or WebsiteSocial Media ChannelsBoth

By providing your email address, you agree to be contacted by Group Black, Inc.*

Agree

Company Site Information

Site Name

Site URL

Site Category
BusinessDIYHealth & WellnessBeauty / FashionFoodEntertainmentLifeParentingPoliticsTechnologyOther

Company Information

Please specify Black ownership % of company.

Percentage

Please list your company’s revenue streams:

Revenue Streams

Average Monthly Pageviews in Google Analytics:
Less than 20,000Between 20,000 and 500,000More than 500,000

Which Ad Networks are you currently using?
Ad ThriveMediaVineOther

What publishing platform is your site on?
SquarespaceWordpressWebflowSelf hosted

Social Media Names

In order to be considered for our Social Media influencer programs, we ask that you provide at least one social media account in the fields shown below. Please insert the URLs for your accounts.

Facebook

Pinterest

Twitter

YouTube

Instagram

Company Contact Information

CEO or President Contact Information:

First Name*

Last Name*

Email Address*

Job Title*

Sales Team Member Contact Information:

First Name*

Last Name*

Email Address*

Account Management Team Member Contact Information

First Name*

Last Name*

Email Address*

Job Title*

Agreement

Review of Site Traffic

As part of our application review process, we need to verify your site's pageviews using Google Analytics. It only takes a few clicks if you have a GA account set up, and the only thing we see is your pageviews. The rest of your GA data is private. If you don't have a Google Analytics account, please set one up now by clicking here. Please click below to Agree with the above statement. *

I Agree

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