Brand Ambassador Application

Ambassador Application 2021

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Ambassador Application 2021

Physician's Choice Ambassador Application

1. What's your name? *This question is required.

2. What is your Instagram handle? *This question is required.

3. If you have a blog as well, drop the link here

4. If you have a YouTube channel, link it here

5. What is your email? *This question is required. This question requires a valid email address.

6. How many followers do you have?
(If you are interested in ambassadorship primarily through your blog or YouTube, tell us how many readers/subscribers you have - but please include Instagram as well!) *This question is required.

7. What is your favorite Physician's Choice supplement, or which supplement are you most eager to try? *This question is required.

Collagen Powder
Collagen Verisol Pills
Ashwagandha
60 Billion Probiotic
Women's Probiotic
Thin30 Probiotic
Something else! (write it in) Please enter an 'other' value for this selection.

8. Why do you take supplements? *This question is required.

9. If you're an Ambassador for any other brands, please list them here!
It will help give us an idea of your niche, and what your followers like to see from you.

Brand 1
Brand 2
Brand 3
Brand 4
Brand 5

10. List three words that you think best describe our brand. *This question is required.