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Exemplary Ambassador Application

Be Bold. Be Confident. Be Exemplary.

Ambassador Contest: $150 Total
A $100 non-refundable deposit is due at the time of application submission.

Full Name *

Preferred Title Name

Email *

Phone *

Complete Address *

City *

State *

Division *

Shirt Size *

Date of Birth

Referred By

Social Media Presence / All Platforms

Platform / Cause / Community Service Focus

Why do you want to become an Exemplary Ambassador?

Ambassador Payment Information

Ambassador total is $150.
A $100 non-refundable deposit is due at the time of application submission.

I certify that my information is accurate.
I understand the $100 deposit is non-refundable.
I understand the remaining $50 balance is due within 30 days of application submission.

Payment Options

After submitting your application, please complete your $100 non-refundable deposit using one of the payment methods below.

PayPal: davidfarmer1981@yahoo.com

Venmo: @flyboy08

Cash App: $flyboy2008

Zelle: davidfarmer1981@yahoo.com

Please include the applicant name and “Ambassador Application” with payment.

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