MEMBERSHIP APPLICATION

Step 1 of 4

Profile Information
First Name
Last Name
Email Address
Mobile Number
May we contact you via text message?Yes
No By selecting yes, you agree to receive text messages from us. Please note that you may be charged additional carrier fees.
Date of Birth
Primary Mailing Address
Nationality
How do you identify?
Profile Photo (JPG or PNG) Maximum upload size 10MB.
01. Content Channel URL [ ie - YouTube, Instagram, TikTok, X, Spotify, Twitch, LinkedIn, Website, etc. Insert 1 Link ]
02. Content Channel URL ( optional ) [ ie - YouTube, Instagram, TikTok, X, Spotify, Twitch, LinkedIn, Website, etc. Insert 1 Link ]
03. Content Channel URL ( optional ) [ ie - YouTube, Instagram, TikTok, X, Spotify, Twitch, LinkedIn, Website, etc. Insert 1 Link ]
Agent / Manager representation?Yes
No
If yes, what's their name + email?
If anyone, who referred you? Name + email address