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Ambassador Form
Ambassador Form
All fields are required. If a field does not apply to you, please enter N/A
Personal Information
First Name
*
Last Name
*
Email Address
*
Date of Birth
*
Primary Phone Number
*
Address
*
City
*
State
*
Zip Code
*
Country
*
Must be a physical shipping address (no P.O. Boxes)
Rider Profile
Which powersport segments are you involved in?
*
Which riding disciplines do you participate in?
*
How many miles do you typically ride in a season?
*
What events or races do you attend?
*
Machine Information
Year
*
Make
*
Model
*
Sponsorship Experience
Have you previously been a Len Ambassador?
*
Yes
No
Please list any other brands you have worked with (currently or in the past)
*
Representation & Impact
Why do you feel you would be a positive representative for Len Performance?
*
What makes you unique and sets you apart from others?
*
Social Media Presence
Must provide at least one
Instagram Link or Handle
*
Facebook Link
*
YouTube Link
*
TikTok Link
*
Additional Comments
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