Alamat Email (required)

Code Campaign (required)
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JBBinsider CODE / Email ketika mendaftar (required)

Nama KOL (required)

===YOUTUBE===

Nama Youtube Channel (required)

Youtube Link (required)

Jumlah Subscriber Youtube (required)

Sebutkan jumlah rata - rate views YOUTUBE video (required)

Upload screenshot Youtube Channel Analytics (required)

===INSTAGRAM===
Username Instagram (required)

Instagram Link (required)

Instagram Followers (required)

ER Rate INSTAGRAM (required)

===ALAMAT KIRIM===

No. Whatsapp (required)

Alamat Lengkap Dengan RT/RW (required)

Provinsi (required)

Kode Pos (required)

Bersedia mengikuti brief, timeline serta report insight di akhir campaign (JIKA TELAT SETUJU ADA PENALTY)? (required)
Saya Bersedia

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