Please complete the attached registration form to become a Bra Recycling Ambassador. The form will help us learn more about you and your plans for being an Ambassador. We would like to thank you in advance for your interest in becoming a Bra Recycling Ambassador.

All fields with an * are required.

Primary Contact Information:

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Mailing Address:
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Shipping Address: (if the same as mailing address leave blank)
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* How did you hear about The Bra Recyclers?

* Tell us why you would like to become a Bra Recycling Ambassador.

* Please provide us with details for your bra drive, including tentative dates, location(s), and who you are going to be collecting bras from (i.e. friends, family, co-workers, customers, etc). Please be as detailed as possible.

* Is there a particular organization you would like to support or do you intend to ship the bras directly to The Bra Recyclers, or a combination of both?

* Are you willing to cover any administrative cost of being a Bra Recycling Ambassador, this includes mailing cost, printing of flyers, boxes for storage of bras, etc?

Yes No

Comments:

By completing and providing your electronic signature or written signature below you agree to the following:

  • The information above is true and correct and we authorize The Bra Recyclers® to include our contact information (Name, Phone, Email) on our website, www.BraRecycling.com as the key contact for your area.
  • The logo or name The Bra Recyclers® or caricatures will not be used for any purpose other than to promote a bra recycling or related event. Approval will be needed to use for any other purpose.
  • A copy of any press release should be reviewed and approved by The Bra Recyclers® prior to it being released to the media to ensure accurate information has been included.
  • The Bra Recyclers will not be responsible or liable for any damages prior to or during an event. If event insurance is needed the Bra Recycling Ambassador will be responsible for obtaining the necessary insurance.

* Name of Primary Bra Recycling Ambassador Contact test:

Date:

 

Note: Your name will serve as your online signature that you agree with the statements above.

Thank you for filling the application. We are so excited that you will join us on this journey to improve the lives of women and girls in our community.

 

The Bra Recyclers is excited about supplying recycled bras to women in communities around the world.