Brand Ambassador Program
Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about us?
*
You drink Kure already
Referral
Social Media
We approached you
What ambassador category do you best fit in?
*
Social media
Influencer/actor
Athlete
Healthcare professional
Retailer
Customer champion
Tell us more about yourself/brand
Website URL:
*
Do you have any other affiliates that may conflict with our brand:
*
What is your main content creating platform?
*
What is the industry/niche you create content for?
*
What type of information does your audience mainly seek you out for?
*
Social Media
What platforms do you have a presence on?
*
What are your usernames/handles?
*
How many followers do you have per platform?
*
Podcast
Do you have a podcast?
*
Yes
No
What is your podcast category?
*
How many downloads per month?
*
How long have you been podcasting?
*
Do you have podcast sponsors?
*
YouTube
Do you have a YouTube channel?
*
Yes
No
What is your channel category?
*
How many subscribers?
*
How long have you been YouTubing?
*
Any comments or message you want to share with us?
Submit
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