Community Ambassador Form

1

What is your name? * This field is required.

First Name

Last Name

2

What is your email?* This field is required.

example@example.com

3

Your social handle?* This field is required.

4

Why do want to be a HULA Ambassador? What would make you a great ambassador?What makes you different and stand out from others!

5

Which city are you in? * This field is required.

6

Did any one refer you to the Ambassador program? If so who?* This field is required.

7

I agree to represent HULA as a Community Ambassador in a positive manner and encourage others to utilize Hula's benefits.* This field is required.

I agree

I disagree

8

I agree to refer others to Hula's ambassador program.* This field is required.

I agree

I disagree

9

Further thoughts?