Wild Bay Ambassador Pre-Qualification

1

Zip Code* This field is required.At this time, we are only able to partner with Ambassadors in select areas of MD, DC, VA, NJ, NY and PA. Please enter your zip code to determine if you are in our range. If you are in our range, you will see a green checkmark next to the zip code you entered and will be able to continue with the prequalification form. If you are not in our range, you will see a message in the red progress bar.

2

Full Name* This field is required.

First Name

Last Name

3

Email Address* This field is required.

example@example.com

4

Mobile Phone Number* This field is required.

Please enter a valid phone number.

5

Are you 18 or older?* This field is required.

Yes

No

6

Which best describes you?* This field is required.

General creator / influencer

Student ambassador

Fitness / wellness ambassador

Cafe / hospitality ambassador

Local lifestyle creator

Other

7

Social Media Handle(s)* This field is required.Please add your social media handle(s) and select the corresponding platform. You only need to add accounts that you actively post on.

10

Are you open to a gifted-product partnership rather than cash compensation?* This field is required.

Yes

No

11

If accepted, would you be comfortable creating a few shorts/reels/posts/stories in exchange for Wild Bay Kombucha?* This field is required.

Yes

No

12

Tell us briefly why you’d be a good fit for Wild Bay* This field is required.

13

Qualification Status

Qualified

Not Qualified