Main Street Roasters Brand Reps Apply for Main Street Roasters© Brand Ambassador Apply for your chance to join our team of brand ambassadors, selected quarterly! Name* First Last Date of Birth* Applicants under the age of 18 are not accepted. Email* Enter Email Confirm Email Instagram Account* Facebook Account Name, if applicable Are you familiar with Main Street Roasters brand?* How many times, on average do you visit Main Street or purchase products per month?* Describe your reason for interest in Main Street Roasters.*Influencers*Main Street Roasters also works with influencers for paid representation. If you are interested as an experienced influencer with proven experience - please contact us at email@example.com for rates and potential negotiations. I have read this statement. Disclaimer*As we start our brand ambassador program, we will select a limited number of ambassadors to kick start our program. There is no cash value in our program at this time. Our program will consist of free product, samples, and merchandise in exchange for your promotion. I understand that Main Street Roasters is under no obligation to accept my application. I understand there is no monetary compensation. I understand the compensation is based on terms and conditions to be disclosed if I am accepted into the program. Signature*In the event that you are selected, you will receive an email with further instructions including guidelines, goals, and requirements. Thank you for your submission! We appreciate your support very much! I have read and understand this form.