Name Postal Address Phone Willow Organic A M B A S S A D O R A P P L I C A T I O N Date DOB **Social media following **Please answer the questions below. I understand that by submitting this application form I am allowing Willow Organic to retain my personal data. I also agree to their Ambassador Terms and Conditions as described in the following page. Signature How did you learn about us? Have you used Willow products before? Do you have any skin concerns Yes Yes No No If yes, what are they How many followers do you have on Instagram_____________ What is your instagram account name @_______________________ How many followers do you have on TikTok_____________ What is your TikTok account name @_______________________ **Your information **Aligned values Tell us why you would like to join Willow's Ambassadors Programme Allow Willow to share and use any media I might create using their gifted products (this includes on their social media channels, their website and on printed materials For every free gifted set of products I receive from Willow I will create and share a minimum of 3 pieces of grid content: 2 static posts and 1 video/Reel For every free gifted set of products I receive from Willow I will create and share a minimum of 3 stories I understand that Willow can terminate my participation in the Ambassador's programme without notice By signing up to the Willow Beauty Products Limited Ambassador Programme I agree to: TERMS & CONDITIONS May 2023