Name *

First Name

Last Name

*

This data is collected to share internally and with our vendors or alternative campaign hosts. Our campaign hosts may opt-in to view our influencer contact list for the purpose of campaign opportunities. We do not review these campaign opportunities or manage campaigns for each host. Campaigns hosts and agencies may or may not reach out to you. They will only be able to view the information you include in this form with the addition to links to your social profiles found online and information contained by them that are available for public consumption (i.e. Instagram URL and bio / contact information listed on your profile / stats / number of followers / number of posts or engagement percentage) . We respect your privacy and will never share this information to those outside of brands or other influencer campaign agencies for the purpose of marketing or solicitation of services or products.

I Accept