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welcome-influencers

Welcome Influencers!

Welcome to the Socialite Media family. Please fill out the form below to submit your information to us.

Contact Us

Applicatant Name:

Your Email:

Your Phone:

Date Of Birth:

How Did You Hear of Socialite Media?

Street Address

Apt/Unit #

City

State

Zip Code

What industries are most appealing to you?

Restaurants

Spas/Salons

CBD

Nightlife

Fitness Studios

Client Products

Other Industries?

Instagram Handle:

Followers:

Avg. Reach Per Post:

Facebook Handle:

Followers:

Avg. Reach Per Post:

Twitter Handle:

Followers:

Avg. Reach Per Post:

Youtube Handle:

Subscribers:

Avg. Reach Per Post:

TikTok Handle:

Followers:

Avg. Reach Per Post:

Other Social Media Platforms & Handles?

What are your favorite businesses (small businesses, retail stores, restaurants, etc.) in Chicago, and why?

Please give us a snapshot of your involvement in Chicago. Which neighborhoods do you spend your most time, activities you’re involved with, groups you’re associated with, etc.?

Why do you want to become a Socialite Media influencer?

Do you or have you ever worked with a Social Media Marketing or Influencer Marketing company? If so, when and which company(s).

How do you want to be contacted by Socialite Media?

Text

Phone

Facebook/Instagram Message

Other:

Do you give us permission to share photos from your social media account?

Yes

If no, please state why:

Do you give us permission to add you to our influencer marketing platform, Dyzio?

Yes

If no, please state why:

Please feel free to fill us in on anything else you think we should know about you?

Please E-Sign Below.

Date:

Thank you for contacting us.
We will get back to you as soon as possible.

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Socialite Media

415 N LaSalle Dr.

Chicago, IL 60602

Welcome New Clients | Welcome Influencers

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