Personal Information

Name

Instagram ID

Contact Number

Whatsapp Number

This number will be used for all communications related to the program. Please save 7092633000 in your contacts to receive updates, promotional materials, and announcements. WhatsApp broadcasts can only be delivered if this number is saved in your contacts.

Email ID

City

State

Gender
MaleFemaleTransgenderPrefer not to disclosure

Age

Occupation
StudentHomemakerSalaried professionalBusiness OwnerFarmerRetiredSocial Media InfluencerOther

Preferred Language for Communication
TamilMalayalamEnglishHindi

Program Information

Your Preferred Prefix for Coupon code:

Every Influencer will be given a unique coupon code, If the preferred choice is not avaiable, we will use your name as the prefix : Example - Naveen15

How did you hear about this program?
FriendSocial MediaWebsiteExisting CustomerNursery / Gardening GroupOther

Additional Information

Consent & Declaration

I have read and understood the Terms & Conditions of the Time2Plant Influencer Marketing Program.

I consent to receive communications, promotional materials, updates, and announcements from Time2Plant through WhatsApp, SMS, email, and phone calls.

I confirm that the information provided by me is accurate and complete.