LOGIN HEY YOU! ARE YOU A WHOLESALER? CONTACT US FOR WHOLESALE INFO » MENU Open menu Toggle search bar What can we help you find? Submit search COUTURE TEE COMPANY LOGIN CART SALE New Arrivals Southern Couture Classic Collection Comfort Collection Soft Collection Premium Collection Lounge Fashion Dresses & Kimonos Long Vests Leggings Accessories Scentsations Wholesale Information Already carry Southern Couture and want to be able to order online? Apply for an online account Are you interested in being a retailer of Southern Couture? Apply for a wholesale account. Nav Menu 2 Nav Menu 3 Nav Menu 4 Nav Menu 5 Nav Menu 6 Nav Menu 7 Nav Menu 8 You are here: Home > Brand Ambassadors Brand Ambassador Application We can't wait to hear all about YOU! Full Name * First Name Last Name Phone Number : * - Area Code Phone Number E-mail : * Home Address : * Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard eSwatini Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands Isle of Man US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Age Group: * Under 18 18-25 26-35 36-50 51-65 Over 65 What social media platform are you active on/do you prefer? * Facebook Instagram Pinterest Snapchat Twitter Provide username(s) and number of followers for all social media platforms chosen from the above list: * 0/300 Have you been a brand ambassador before? * Yes No If you answered "yes" to the above question please provide details along with dates: 0/300 Are you currently a brand ambassador? * Yes No If you answered "yes" to the above question please provide details: 0/300 Do you currently own Couture Tee Company merchandise? * Yes No Which Couture Tee brand is your favorite? * Lightheart Southern Couture Priority Why do you want to become a Couture Tee Company Brand Ambassador? * 0/300 If you have questions, please feel free to contact us at [email protected]. By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. E-Signature: * Submit Form Print Form Should be Empty: