Brand Ambassador Application We are excited that you are interested in becoming a BOOMBOX brand ambassador. Brand ambassadors are outgoing members of their community who love our products and want to share it with those in their area of influence. As a brand ambassador, you will promote our brand and, in return, get free products, and even cash in some cases. Please complete the form below to be considered as a member of our elite team.Name First Last Email Enter Email Confirm Email Mobile PhoneDate of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Facebook Profile URLNumber of Facebook FriendsInstagram Profile URLNumber of Instagram FollowersTwitter Profile URLNumber of Twitter FollowersWould you be willing to participate in on-site events and promotions (for pay of course)?YesNoAre you willing to share content regularly (2 to 3 times per week) when we contact you?YesNoIf you are in school, tell us where?Select the markets where you feel you would have the most influence: Baton Rouge (LSU) Baton Rouge (Mid-City) New Orleans Lafayette Lake Charles Tell us why you want to be a BOOMBOX ambassador.
