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Last Name:
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Have you made a purchase from us before?
If you have purchased from us before, what did you love about the product?
In 1 or 2 sentences, tell us why you'd love to be in our Community?
Please provide an outline of the content you'll create
Do you have kids that will feature in your content?
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If you answered Yes to featuring kids... What are their ages?
I agree to provide The Natural Patch Company royalty-free indefinite rights to use the content in other marketing channels (including paid promotions)
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