Hair Youphoria Extensions Ambassador Application
Please fill out this form if you're interested in becoming a brand ambassador. If chosen you will be contacted with 5 business days.
Applicant Name
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First and Last
Birth Date
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-
Month
Year
How did you hear about Hair Youphoria Extensions?
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Twitter
Instagram
Facebook
Word of Mouth
Other
E-mail
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Address
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Street Address
Street Address Line 2
City
State
Postal / Zip Code
Upload a selfie photo
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Instagram Handle
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Twitter Handle
Social Media Stats
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Rows
Followers (#)
Engagement Rate (%)
Instagram
Facebook
Twitter
Provide a link to two of your best social media posts that showcase your best content
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Please tell us about yourself and how you plan to represent the Hair Youphoria Extensions brand
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Are you currently a brand ambassador for any other affiliates? If so please list
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Yes
No
Other
I understand that in order to be a Hair Youphoria Extensions Brand Ambassador, my social media profile(s) must remain public for the duration of my ambassadorship.
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Yes
No
Other
Follow us on social media!
Please verify that you are human
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