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* 1. Please enter your full name

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* 2. Please enter your email address

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* 3. Please enter your contact number

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* 4. Which type of work do you most frequently carry out?

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* 5. Please enter your social media username (leave empty if not applicable)

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* 6. If selected as a Werner Approved Ambassador, are you happy to take part in PR and marketing activities?

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* 7. By submitting your details, you agree for a Werner representative to contact you via the contact information provided regarding the Werner Approved Ambassador scheme

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* 8. By ticking the box, you agree to receive marketing and promotional emails about products, services and offers from WernerCo. For information about our privacy policy, please visit our website.

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