Brand Ambassador Application 2021

Country Allure Brand Ambassador Application

Please fill in the form below to apply for our WILDbassador program.
Name: *

First Name Last Name
Birth Date *

Month Day Year
What is your IG handle & current follower count? *
Can you upload a screenshot of last months analytics?

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E-mail Address: *
Location: *

Street Addressed

Street Address Line 2

City State
Why do you think you’ve got what it takes to become part of the WILDbassador team? *
Should be Empty:

Country Allure Brand Ambassador Application