Ambassador Acceptance Form

First name

Last name

Ambassador email address

Instagram username

TikTok username

Country & City

Ambassador level offered

I have read, understood and agree to the Piricaink Brand Ambassador Programme Terms & Conditions.

Ambassador electronic signature

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Parent or guardian email address (only if aged 16 or 17)

Age confirmation

I confirm that my information is accurate and that submitting this form represents my electronic acceptance of the Programme Terms.

I would also like to receive Piricaink customer newsletters, product news and promotional offers.

Parent or guardian signature (only if the Ambassador is aged 16 or 17)

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Date of acceptance

Day

Month

Year