JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Melbourne Incentive Program
AU$10 for every person that joins your game.
This incentive will change over time, and details will be updated here:
https://deemples.com/brand-ambassador-melbourne/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Full name please
Your answer
Phone
*
Make sure it's Whatsapp enabled, we'll be including you into a Deemples Melbourne Ambassador Whatsapp group. Please include country and area code: eg +614xxxxx
Your answer
Email
*
Valid email address
Your answer
Address
*
Full mailing address, in case we have some merch coming your way.
Your answer
Airport Code
*
Where you're mostly flying out from. (we like it instead of Postcode, so we know the area you're located)
Your answer
IG / FB / TW / Blog
*
Share at least 1 account, so we know where you'd be sharing your social media posts. Best if you have multiple, or all of them! Make sure they're set to public.
Your answer
Bank Account Info
*
Include 1) Name of Bank 2) BSB 3) Bank account number 4) Your name on the bank account 5) Your address on bank account (4+5 if different from above). So that we can make prompt and accurate payment for your incentives.
Your answer
I agree to the terms provided for this incentive program, and have the right to drop out at anytime.
*
All details on:
https://deemples.com/brand-ambassador-melbourne/
Excited to have you all on board, to help grow Deemples in Melbourne!
Yes
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Deemples.
Report Abuse
Forms
