Local Women’s Handicrafts Ambassador Form
Hello and thank you for your interest in becoming an Ambassador for Local Women’s Handicrafts, a fair trade, eco-conscious collective of women, creating unique fashion and decor in Nepal.

As a Brand Ambassador you'll receive a percentage on every order purchased with your coupon code (variable between wholesale or retail clients).

As an Influencer you'll receive a percentage on every order purchased with your coupon code and your audience will also receive a discount on their order by using your coupon code. (Depending on your interest and audience type, you can choose below the category of products you prefer to receive, which you'll advertise for us.)


To apply first please fill out the form below and then we will send you an agreement via email :
Sign in to Google to save your progress. Learn more
Email *
Are you interested to be an ambassador or an influencer? *
First Name *
Last Name *
Instagram Handle (if applicable)
Facebook Page (if applicable)
Youtube Channel (if applicable)
Total Audience
1K
1K to 5K
5K to 10K
10K to 50K
50K to 100K
100K to 500K
500K to 1M
+1M
Instagram
Facebook
Youtube
Twitter
Pinterest
Clear selection
Blog or Website Link
City, State,Country
Primary Publishing Platform
Clear selection
Main region of influence (check all that apply)
Describe your main content category (e.g. health & wellness, sustainable living, women empowerment, fair trade fashion, yoga & meditation, hemp products etc.) *
What category of product you would like the most to receive and advertise (check all that apply) *
Required
Your audience is mainly *
Your audience age range is mostly (check all that apply) *
Required
Choose a unique name for your COUPON CODE that you will share with your audience
Lastly, how would you like to receive your monthly payout? *
Please include your PayPal email below or your mailing address for the check
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Local Women's Handicrafts. Report Abuse
Google Forms