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Application to partner with Shoppers Drug Mart and Shoppers Beauty

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1.What is your first and last name?(Required.)
2.What is your email address?(Required.)
3.What is the city/province that you live in? *please note, we require that our influencers live in and have the ability to work in Canada*(Required.)
4.Do you work with an influencer agency? If so, please provide their details and contact information. If not, feel free to skip.
5.What is your Instagram handle? If you don't have one, please write N/A.
6.How many followers do you have and what is your total percentage of Canadian followers?
7.What is your Facebook page name? If you don't have one, please write N/A.
8.How many Facebook page likes and followers do you have and what is your total percentage of Canadian followers?
9.What is your YouTube channel name? If you don't have one, please write N/A.
10.How many YouTube subscribers do you have and what is your total percentage of Canadian followers?
11.What is your TikTok user name? If you don't have one, please write N/A.
12.How many TikTok followers do you have and what is your total percentage of Canadian followers?
13.What is your primary target audience? (Please select only one)(Required.)
14.What is your secondary target audience? (Please select only one)(Required.)
15.Do you have a media kit you'd like to share with us?
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