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Email *
Where are you located?
First and Last Name *
Email *
Phone Number *
Instagram Username
Do you own/manage a salon?
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If you answered yes to the previous question, what is the name of your salon? (Please include their Instagram handle and/or website if applicable)
Do you sell your own line of Lash Supplies?
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Are you an Affiliate with any other Lash Extension Company?
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Why do you want to be an Affiliate for LASHBOMB? *
What is your favorite LASHBOMB product?
How many purchases do you anticipate being made monthly through your unique link? (if you had to guess--be realistic)
How long have you been doing lashes?
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