A2 Influencer Outreach

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

What is your name (first and last, please!)?

What is your preferred email address?

What is your address?

We'd love to have this on file in the case we ever need to ship product.

Tell us about your content and personal brand! What keywords best describe you and what you share?
*

Examples: Lifestyle, Wellness, Travel, Food&Drink, Parenting

Tell us about your household! Check any boxes that describe you! (Are you married? Do you have any children? Do you have any pets? Etc.)

Married

Kids (under 10)

Kids (over 10)

Dogs

Cats

Other:

Please leave any other details about your household here or expand if you clicked "other".

What is your rate for 6+ UGC images?

This also includes a minimum 6 images and digital usage for one year.

What is your rate for 1 UGC video (:15-:1:00)?

This also includes 6 images and digital usage for one year.

What is your rate for 1 TikTok video or Instagram Reel (0:15 to 1:00)?

This would also include 6 images, 30 days exclusivity, and digital usage for one year.

Are there any specific brands or retailers that you have interest in working with?

If you have a media kit, please link it here.

By submitting this form you agree to our content creator agreement. *

I agree.

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This form was created inside of A2Influence.

Does this form look suspicious? Report