BluBlocker Brand Ambassador/Affiliate Interest Form
Thank you for your interest in becoming a BluBlocker Brand Ambassador & Affiliate. Please fill out this form and we will be in touch! 
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Name *
First and last name
Email *
Phone number *
Which channels are you interested in promoting BluBlockers on? *
Required
Please list your handles or websites where you will be promoting BluBlocker *
Why do you think BluBlockers is a good fit for your audience?  *
Which interests do your channels most align with? (Check as many as apply)  *
Required

Are you a member of any affiliate programs? 

(ex/ShareASale, Skimlinks, Rakuten, Impact, Other)

*
What sort of compensation model are you interested in? (hint! We prefer to work with creators that work for product donation or on an affiliate compensation model)  *
Required
If you work on a flat fee model, please list your rates below *
What address should we send product to?
*
Please provide any relevant examples of past brand collaborations you've done
Are you an affiliate or brand ambassador for other brands?
*
How did you hear about us?
*

Anything else you would like to tell us?


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