Influencer Registration

Full Name

Email

Phone Number (optional)

Shipping Information

Address

Apt, Suite, Unit

City

Zip/Postal Code

State (optional)

Country

Social Media Information

Instagram User Name

Instagram Link

Followers

Twitter Link (optional)

Youtube Link (optional)

TikTok Link (optional)

Jewelry Customization

Preferred Customized Name

Preferred Customized Word

Preferred Customized Year

Preferred Customized Initials

Preferred Necklace Length

Ring Size