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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the email where we should contact you?

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* 4. In what city do you live?

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* 6. What social media channels do you use?

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* 7. Where do you wear Cabana Life? Please select all that apply.

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* 8. Why do you purchase Cabana Life?

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* 9. Have you or an immediate family member had skin cancer?

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* 10. How do you discover new brands?

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* 11. What would motivate you to be a Cabana Life Brand Ambassador?

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* 12. Why would you make a great Cabana Life Brand Ambassador?

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* 13. Please provide your links to Facebook and/or Instagram if you are on social media. 

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