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* 1. Name

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* 3. Phone

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* 4. Address

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* 5. Are you over the age of 18?

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* 6. I am applying as a:

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* 7. Preferred social media platform:

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* 8. Social media handle(s):

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* 9. Your preferred Kalani product(s) that you'd like to promote:

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* 10. How often do you plan on promoting your Kalani product(s)?

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