Social Media Influencer Form
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Please Select
Newspaper
Internet
Magazine
Other
Will you be willing to recommend us?
Yes
No
Maybe
Please give reference of any two people whom you feel would want to work with us.
Full Name
Address
Contact Number
1
2
How many social media followers do you have?
How active are you on social media?
What is your social media handle?
Why do you believe your hair is a great fit for our hair product line, and how have our products made a difference in your hair care routine?
What sets your personal hair journey apart, and how can it serve as a source of inspiration for our customers?
In your opinion, what qualities or characteristics do you possess that make you the ideal candidate to represent our brand and products in promotional materials and campaigns?
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