G T C OA L I T I O N 2 0 1 6 A P P L I C AT I O N F O R M
Yes, I would love to be considered to join the GT Coalition! Below are my details and why I think I have what
it takes to truly represent GT. If selected, I would show GT in the best light through my social media channels
at least once a month, and connect with my local shops and riding communities with rides, and GT demo
assistance, etc. if and when those opportunities arise.
Next Steps: Please fill in all the below fields and e-mail this form back to the address found at the bottom.
CONTACT AND PERSONAL INFORMATION
First Name
Last Name
Street
Mobile Phone Number
City
Email address
Postal Code
Date of Birth
Country
Gender M
RIDER PROFILE
Your main discipline MTB
(mm/dd/yyyy)
/ F
/ PAVEMENT
Which discipline describes your riding the best? Choose up to 2:
Downhill
Trail Riding
Marathon
Triathlon/TT
All Mountain/Enduro
Cross Country
Road Racing
Cyclocross
What bike(s) do you currently ride (please indicate brands and models)?
Are you currently using any products (bike/apparel/accessories/helmet) from GT? Yes
If yes, which products do you have?
SOCIAL MEDIA ACTIVITY
Which social media channels are you active in? (Please include complete URL’s)
Facebook
Instagram
YouTube /Vimeo
Twitter
Website / Blog
Other
(please copy and paste URL’s above)
YOUR MOTIVATION TO BECOME A GT COALITION MEMBER
List your Top 3 accomplishments (e.g. results, media, community, personal achievement, etc.)
/ No
G T C OA L I T I O N 2 0 1 6 A P P L I C AT I O N F O R M
Why would you be a great addition to the GT Coalition team? (max 200 words)
Have you ever been involved with any other brand ambassador programs, if so which ones?
YOUR ROLE AS AN OPINION LEADER
What is the name of your local bike dealer/shop (contact person, dealer name and address)?
And are they a GT Dealer?
Dealer Name
Address
GT Dealer
Yes
/ No
How often do you visit your local shop?
Once a week
Once a month
Few times a year
Never
What do you do in your local community to give back? (max 200 words)
In 10 words or less, how would your friends describe you? (max 200 words.)
Ok, you’re done with the application! Now what?
Step 1: Save this completed document on your device as: GT Coalition Application – Last Name – Country
For Example: GT Coalition Application – Macdonald – New Zealand
Step 2: Email the completed and saved document to [email protected]
Important: In the subject line of the e-mail you send to us, please name identically to saved document.
For Example: GT Coalition Application – Macdonald – New Zealand
THANKS!