First name & Name*

Date of birth (optional)

Email*

Instagram page or other links of your social network pages*.

How did you hear about our Ambassador program ?*

Tell us in a few sentences, your motivations to be an Ambassador representing XXIV Carats? (optional, but recommended)

By sending your request, you agree to the collect of your data, in order to be contacted for the validation of your status ?*

Would you like to subscribe to our Newsletter to be informed about future offers, contests and XXIV Carats collections?