Product/Service Review and/or Giveaway Request Form
Full Name *
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E-mail Address *
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Brand or Company Name *
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I am interested in... *
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What products or services would you like to be featured? *
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Please provide a link to the product or service you would like to have featured. *
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What is the approximate retail value of product/service to be reviewed? *
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If you would like to have a giveaway, what would the prize be?
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If you would like to have a giveaway, what is the approximate value of the prize?
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If you would like to have a giveaway, the giveaway would be open to residents of:
Is this a time-sensitive product/service review and/or giveaway? What date would you need everything to be completed by? *
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Is there any other information I should know?
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Your response will come from caffeineandfistbumps@gmail.com.
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