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* 1. Full Name

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* 2. Age

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* 3. City and State of Residence

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* 4. Email Address

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* 5. @Instagram

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* 6. @Twitter

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* 7. Facebook Link

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* 8. www.yourwebsite.com

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* 9. Do you have experience promoting a brand? Are you currently promoting any other brands?

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* 10. About you - Tell us how you would be a great Nudwear Ambassador?

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