MKT - Influencer Application

Influencer Application Form
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Please share your social media profile URLs*
Are you currently or previously worked on a hair and beauty brand collaboration, endorsement or sponsorship within the past 12 months?*

NoYes
If Yes, what brand(s)?
Please share any URLs of coverage of the above collaborations, endorsements or sponsorships. *
Why would you like to partner with Cloré Beauty Supply? *
How would you like to partner with Cloré Beauty Supply? (Complimentary products for content creation/reviews, media rate, brand collaboration, etc.) *
Is there a specific brand/product you are interested in that Cloré Beauty Supply carries?*
Should be Empty:

Influencer Application Form