Media Influencer Contact Form
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First Name
Last Name
Preferred Pronouns
Country of Residence
Email Address
Website URL
Primary Social Media Channel (Instagram, Facebook, Twitter, etc.)
Primary Channel URL
Total Followers or Subscribers
Average Engagement per Post
Blog Views (per month)
Do you follow and engage with us on our social channels currently?
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Please share URLs to any relevant examples of past coverage/prior collaborations:
Are you seeking payment for collaborations?
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Describe payment requirements, desired budget range and whether some or all are negotiable.
Comments Section - Anything else you'd like to add to your request?
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This form was created inside of Sleeping Bear Press.