Baxyl Ambassador Program Application

If you love Baxyl products and are interested in joining our team, please fill out the form below:

Full Name*
First Last
Email*
Phone*
What social media platforms are you active on (select all that apply):
- Facebook
- Instagram
- TikTok
- YouTube
- Other
If other, please specify:
Provide the user name for each social platform selected above:*
Sport, Activity, Hobby, Etc.:*
Baxyl Products Used:*
Please tell us how long you have been using these products, and what benefits you have experienced:*
How will you be an asset and help our brand grow (be specific):*
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