Influencer Form – ButterViral

Submit Your Channel

First Name

Last Name

Preferred Pronouns (e.g. he/him, she/her, they/them)

Home Address

DOB

Channel Name

Channel url

How would you like us to credit you?

Which Butterviral group representative have you been in contact with?

Do you film, create and own all the material on the Channel? *

Have you signed an agreement or submitted elsewhere any content on your channel?

I agree to terms & conditions.