INFLUENCER PARTNERSHIP

apply as

influencer representative

INFLUENCER APPLICATION

REPRESENTATIVE APPLICATION

Your contact information

* are required

First Name *

Last Name *

City/State

Format: Seattle, WA

Profession/Occupation *

Age *

Email *

Phone

Format: XXX-XXX-XXXX

Who do you work for?

Your social / web information

INSTAGRAM HANDLE

# OF INSTAGRAM FOLLOWERS

TWITTER HANDLE

# OF TWITTER FOLLOWERS

FACEBOOK HANDLE

# OF FACEBOOK FOLLOWERS

YOUTUBE HANDLE

# OF YOUTUBE FOLLOWERS

WEBSITE ADDRESS

WEBSITE TRAFFIC (# USERS/MONTH)

More about you

WE CELEBRATE OVERACHIEVERS WHO GO ABOVE AND BEYOND TO BE THE BEST VERSIONS OF THEMSELVES. WHAT SETS YOU APART FROM THE PACK?

ARE YOU AFFILIATED WITH ANY CHARITIES OR NATION / LOCAL ORGANIZATIONS? IF SO, WHAT ARE THEY AND WHAT IS YOUR ROLE?

HAVE YOU EVER PROMOTED ANOTHER WATER OR BEVERAGE BRAND? IF SO, WHAT BRANDS?

DO YOU OFFICIALLY WORK WITH OR REPRESENT ANY OTHER BRANDS? PLEASE LIST THEM.

WHY DO YOU WANT TO PARTNER WITH ESSENTIA WATER? *

IS THERE ANY ADDITIONAL INFORMATION YOU WANT US TO KNOW?

PLEASE ENTER ANY TWO DIGITS. *

IT MIGHT AS WELL BE YOU

This is a call to get up, get out and go do that thing you really really want to do.

SEE OUR CAMPAIGN

FIND A STORE NEAR YOU

KEEP UP WITH ESSENTIA

ESSENTIA WATER, LLC.

18911 North Creek Parkway, Ste. 150,
Bothell, WA 98011

425.402.9555 Or toll free: 877.293.2239