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Ambassador Submission
1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Which task(s) did you complete?
*
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Submit a photo with you kit
Share your story online
Submit a video testimonial
Post your testimonial on YouTube
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4
Upload your photo here
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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5
Upload your video here
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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6
Share the link to your video
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7
Share the link to your post
If multiple, separate links with a comma
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8
Talent Release and HIPAA Authorization to Follow
*
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