Influencer Program

Fill out the information below.

YOUR INFORMATION

FIRST NAME

LAST NAME

CHANNEL NAME

EMAIL ADDRESS

PHONE NUMBER

PLEASE DESCRIBE YOUR CHANNEL AND AUDIENCE

CONTINUE

CHANNEL INFORMATION

YOUTUBE LINK

FACEBOOK LINK

INSTAGRAM LINK

TIKTOK LINK

YOUTUBE FOLLOWER COUNT

FACEBOOK FOLLOWER COUNT

INSTAGRAM FOLLOWER COUNT

TIKTOK FOLLOWER COUNT

MRCOOL can store my information from this form and send me an occassional email or brochure regarding their products