Lunapads Ambassador Application Form
Thank you for your interest in becoming an Ambassador. Below are a few questions to help us get to know you!
How does this work?
The ambassador program is designed to support and reward your efforts to share our products and mission in whatever way works best for you. You may wish to run workshops, attend fairs, farmers markets, and conferences - or simply share Lunapads with others through one-on-one conversation. If you have an existing online or service oriented business, the Ambassador program can be easily incorporated.

To start earning rewards on purchases made through you, you will be asked to purchase from a selection of low-cost ambassador kits starting at $25 to use for demonstration purposes. There are no minimum sales quotas and no need to hold inventory, unless you choose to. You will earn credit (ie: commission or gift certificates) for everyone who purchases products through you.

What are the other options?
If you're not interested in purchasing an Ambassador Kit but still want to spread the love, email us at to become a Lunapads Champion and we'll send you leaflets and coupons to share with your friends.
Are you interested in earning 10% commission or receiving 20% back in Lunapads gift certificates?
Contact Information
Full Name (Last, First) *
Your answer
Email *
Your answer
Address *
Apt #, Street
Your answer
City *
Your answer
Province *
Your answer
Country *
Postal / Zip Code *
Your answer
Contact Number *
Please include area code
Your answer
What is your Date of Birth?
You must be 18 years or older (DD/MM/YYYY)
Your answer
You & Lunapads
Help us get to know you better!
Are you interested in being profiled in a blog post? *
What experiences will help you shine as an Ambassador? *
Your answer
Why do you want to be a Lunapads Ambassador? *
Your answer
How many years have you used our products? *
less than 1
1 - 3
3 - 5
over 5
The DivaCup
If you're currently interested in blogging or other forms of social media, share it with us here:
Your answer
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