Flag Campaign - Upload Photo

Thank you for your interest in joining our Flag Campaign! Please complete the following form. Once you are approved, we will email you the waiver to sign. Then, we will mail you the Fermalife flag. Once your flag is marked as delivered, you have 2 weeks to complete the campaign. If we do not hear back within 2 weeks, your spot is released and you will need to submit in a new request.

Full Name*

First NameLast Name

Instagram Username*

X Username

Please enter your Twitter username if you have one

E-mail*

Type in "1" next to the State/Territory/Island you want to wave our Flag in. Choose 1 Only:*

State/Territory/Island:*

Street Address

Street Address Line 2

Please type in the name of the State, Territory or Island you wish to wave our Fermalife Flag in.

Upload a Picture of You Around the State Capitol:*

Browse Files

Please make sure that the picture you upload includes the State Capitol building in the background and is a recent visit as it is to ensure that the State Capitol building is not currently under construction.

If you are approved, you will receive an email from us within 1-2 business days! If we need more information, we will either contact you by DM or email.