Random House Influencer Application
Please fill out the below information and we'll be in touch if you qualify for our monthly influencer program.
Full Name
*
First Name
Last Name
Primary Social Media Handle
*
@randomhousebooks
Follower Count
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
NetGalley Account E-mail (if different from above)
example@example.com
Do you identify as #OwnVoices? (e.g. Black, Latinx, trans, queer, Indigenous, etc.)
*
Yes
No
If Yes, please elaborate, if you're comfortable:
Submit
Should be Empty: