Remove Your Business
From black dollar.

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This form should be used if you need to have your business removed from black dollar - we apologize for any inconvenience we may have caused!

Simply complete this form and we will have your business removed immediately.

Your Name *
Your Name
Your Phone Number *
Your Phone Number
Reason For Removal *
Are You Authorized To Do This? *
We want to do better - if necessary, let us know of any information that warranted the removal of your business.