Ambassador Application Form

Name*

First NameLast Name

E-mail*

Blog Name:*

Blog URL:*

If no website, please type N/A.

Monthly Page Views per Google Analytics:*

Check all that apply:

Atlanta-Area Food Blog?My Food Blog is at least 6-months-old?

Type of Coverage (check all that apply):*

Instagram Handle:*

If no Instagram account, please type N/A.

Twitter Handle:*

If no Twitter account, please type N/A.

Facebook Fan Page URL:*

If no Fan Page, please enter URL used to post food photos.

Pinterest:

Please list other ambassador groups that you are a member of: (e.g., CulinaryLocal, YP Insiders, etc. )*

Do you agree to display the DiningOut Atlanta Ambassador badge on your site?*

YesNo

Do you agree to allow DiningOut Atlanta to share your email address, name, and blog URL with third parties interested in sharing invitations, restaurant and product information with me.*

YesNo

Thank you for your interest in becoming a DiningOut Atlanta Ambassador!

We will review your application and contact you shortly...

DiningOut Atlanta Ambassador Application