Raising the Queer Flay

Influencers

First Name

Preferred Name

Last Name

Pronoun *

Email *

Are you part of the LGBTI community?

YesNo

What is your Instagram Influencer tier?

Nano = 1K - 10KMicro = 10K - 50KMid Tier = 50K - 500KMacro = 500K - 1MMega = 1M+How many followers

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Businesses

First Name

Preferred name

Last Name

Business name? *

Business Email Address

is your company registered as a business? *

YesNoIn the process

What products does your company provide? *

Business address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

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What is your company's SLA (turn around time) for delivery? *

What makes your product unique? *

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