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PLP Brand Rep Application
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Social Media Pages
*
Your answer
How do you plan on promoting Park Lane Press?
*
Your answer
Do you have a current affiliation with any other small shops?
*
Yes
No
If yes, list who & how long
Your answer
What do you love about our shop?
*
Your answer
Have you already made a purchase from our shop?
*
Yes
No
Are you willing & able to make at least one purchase at a discounted rate from our shop to join the program?
*
Yes
No
Is there any other information you would like us to know?
*
Your answer
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