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Influencer Request Form

*First Name

*Last Name

*Email Address

Short Biography

*Instagram Profile

*Number of Instagram Followers

Average Instagram Engagement Rate

Instagram Audience Demographic Information

*Facebook Profile

*Number of Facebook Followers

Average Facebook Engagement Rate

Facebook Audience Demographic Information

Blog Website (If Applicable)

Unique Monthly Visitors to Blog (if applicable)

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Please provide a list of Brands/Hotels that you've partnered with over the last 120 days

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