Influencer Profile 2018
Thank you for your interest in working with our clients! We are always looking for new online, print and broadcast influencers for our projects throughout California and beyond.

Even if you have filled out our form in the past, we do ask that you fill it out again for 2018. This ensures that we are up-to-date on your interests and contact information.

While we know there is a lot of information here to fill out, please know that the more you provide us, the better we are able to match influencers like you up with our clients.

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Outlet Name(s) (list of blogs, podcasts, publications, etc.) *
Your answer
Which categories would you use to describe your main areas of influence? (Check all that apply.)
Outlet URL(s) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Location
Average Unique Visitors (Readers, Viewers or Listeners) Per Month *
Your answer
Facebook URL(s) *
Your answer
Number of Facebook Followers *
Your answer
Twitter URL(s) *
Your answer
Number of Twitter Followers *
Your answer
Pinterest ID (URL)
Your answer
Instagram URL(s) *
Your answer
Number of Instagram Followers *
Your answer
How often do you publish new content to your blog, podcast or website?
Tell us about your family: *
Required
What is your local reach? (Is your blog local or more nationally read? Are you involved in local parenting, school or charity groups? Tell us about your influence in your local community.)
Your answer
My greatest reach is as a:
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