The Cusp Influencer Network
Blogger Outreach Network
Name *
First & Last
Email Address *
Blog Name *
Blog URL *
Is Your Site In Cision Point
Impression Number/Circulation *
Cision: Unique Visitors Per Month, Stat Show: Monthly Views
When Was Your Site Created? *
Blog Focus *
Required
Who Is Your Demographic?
What Is Your Audience's Age Range?
Where Are You Located? *
What Markets Do You Cover? *
ie: New York Metro Area, Washington, DC Metro Area, etc.
Are you 21 or older? *
Twitter Handle *
Number of Twitter Followers *
Facebook URL *
Number of Facebook Likes/Followers *
YouTube URL
Number of YouTube Subscribers
Instagram Handle
Number of Instagram Followers
3 Brands You Are Interested In Working With
Additional Information
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