Blog Nootropics - Brainz Up

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Sponsorship Request Form

Name *

Email *

Organization

Location *

Where are you from ? Country and City.

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What is your online name/alias ? *

The name that your fans most know you by

Do you currently use BrainzUp™ products? *

Which range accurately reflects your reach? *

Total amount of fans, followers, subscribers across all platforms

Which of the following best describes your PRIMARY focus as an influencer?* *

Although you guys may strive to be great in multiple areas we're curious as to what your PRIMARY focus is

What language do you speak primarily? *

This includes your followers, viewers, fans, etc.

Where are most of your fans located?* *

This includes your followers, viewers, fans, etc.

Which game(s) are you most known for? (Please separate titles by line) *

If you're known for being a variety gamer then just put that

Anything extra you'd like to add about why you would be an ideal partner for BrainzUp™ (Optional)

Name