The Motherland Plug Ambassador Application
Please fill out this form if you're interested in becoming a brand ambassador.
The qualification criteria are quite simple:
1) Must be following us on IG @themotherlandplug 2) Must have a public IG Page 3) Must reside in the United States 4) Must enjoy receiving free merchandise (If chosen you will contacted, via email, within one business week)
Applicant Name
*
First and Last
Birth Date
*
-
Month
Year
How did you hear about The Motherland Plug
Twitter
Instagram
Facebook
Word of Mouth
Other
E-mail
*
Location
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Instagram Handle
*
Upload a photo
Please tell us about yourself and how you feel you represent The Motherland Plug brand
Are you a creative? if so, what is your chosen Art form?
Please select which category(s) you would like to be an ambassador for
Head Gear (headwraps, bonnets, bandanas, hats)
Clothing (skirts, dresses, t-shirts)
Home Decor (sculpture, baskets, tapestries)
Accessories (sunglasses, bags, Jewelry)
Self Care (soaps, butters, oils, hair products)
Please verify that you are human
*
Submit
Find Us Here
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm