Basis - Collaboration Intake Form
Thanks for reaching out! Please take a few moments to complete the following form for our Basis Marketing Team to review! If we think we're a perfect fit for each other, we will reach out to you regarding a possible collaboration.
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Contact Info
First Name *
Last Name *
Email Address *
Brand *
Please check the product category you would be interested in collaborating with us on. Learn more about AutoBrush at www.tryautobrush.com
Required
Profile *
Message
Inquiry & Partnership Capacity *
Please describe the nature of your inquiry. If you are an influencer, please outline any partnership/collaboration requirements you have with brands here (i.e. Can you take your own photos, have you hosted giveaways before, what have past partnerships with other brands entailed, are you willing to be compensated with product/shipping cost, etc.)
Are you willing to sign a contract in order to collaborate? *
Website & Account Info
Please take the time to share your social media handles for influencer inquiries.
Website/Blog URL
If influencer, please provide. If not applicable, write "N/A". If dental professional, please share your website.
Instagram Link
If influencer, please provide. If not applicable, write "N/A"
Instagram Follower Count
Leave blank if no Instagram account.
YouTube Channel link
If influencer, please provide. If not applicable, write "N/A"
YouTube Subscriber Count
Leave blank if no YouTube channel.
Twitter Account link
If influencer, please provide. If not applicable, write "N/A"
Twitter Follower Count
Leave blank if no Twitter account.
Pinterest Account link
If influencer, please provide. If not applicable, write "N/A"
Amazon Recommendations Page
If influencer, please provide. If not applicable, write "N/A"
Please link any additional collateral you would like to share with the team.
Please share any additional comments below.
How did you originally hear about us? Please share the channel you found us on. *
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