PieceKeeper The PieceMaker “PieceKeeper” Program Thank you for your interest in the PieceMaker PieceKeeper Program. Before applying, please review the program introduction in full. The PieceKeeper Program is one of the most direct ways we engage with users to learn how we can do better. With your constructive feedback and support, we can work smarter to continuously build better products, provide better service, and deliver a better customer experience PieceKeepers are responsible for providing helpful and insightful feedback to our product and customer service teams as well as reviewing products for the reference of other customers. Try our products. Spark your interest. Share your experience. Help us get it right. Why do you have the PieceKeeper Program? The PieceKeeper Program was created so we can more directly engage with users to learn how we can do better. · We offer a limited supply of free test samples in exchange for early feedback. · This feedback helps us better gauge market response and get a head start on any areas that might need improvement. · We also encourage PieceKeepers to share their reviews publicly to help inform prospective buyers about what they can expect from new PieceMaker products. PieceKeepers are individuals who not only appreciate free products; they are pioneers who enjoy testing, sharing helpful suggestions to our product, marketing, and customer service teams. They also enjoy sharing their experiences with other prospective buyers. PieceMaker is under no obligation nor makes any guarantees to members of the PieceKeepers and related groups. What are the PieceKeeper program responsibilities? · PieceKeepers are expected to help us by completing surveys that improve our products and brand image, engage with online macrosocial markets (Facebook, Instagram, YouTube, Leafly, MassRoots, Weedmaps, etc) as well as pursue other social campaigns (word of mouth, product shares with like-minded friends, etc). · PieceKeepers are encouraged to contact our customer support team ([email protected]) directly if ever in need of assistance. Who is eligible to apply? This program is not open to the public. Applicants are selected based on several criteria*, including their history and helpfulness of reviews on Amazon, YouTube, and other websites and forums. · *Please share these materials in order to ensure the best chance of approval of your application. · PieceMaker maintains full rights to judge and determine an applicant's acceptance into the PieceKeeper Program. Name* First Last Email* Enter Email Confirm Email PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Social Media*Share with your Social Media aliases above. **The more active you are with social media, the more likely we can approve your application.**Please provide a short review history showcasing your work.*Any relevant files?I am over 21 years of age and I agree that my participation in this program is at the sole discretion of PieceMaker and may be rescinded at any point. (please sign)* What is Today's Date?*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920CaptchaUntitledNameThis field is for validation purposes and should be left unchanged. Already a PieceKeeper and have some good photos, videos, etc for us? Thanks! PLEASE UPLOAD ANY MATERIALS FOR SOCIAL MEDIA USE USING THE FORM BELOW PieceKeeper Program Upload Name* First Last Email* Signature* To the best of my knowledge, the materials that I am uploading do not belong to anyone else. By uploading them here, I am relinquishing any and all claims to PieceMaker and its current and future business entities and partners. I allow full and unrestricted use of said materials to PieceMaker (and its current and future business entitites and partners). These uploaded materials may be modified and utilized without my consent. Date* File* Drop files here or This iframe contains the logic required to handle Ajax powered Gravity Forms.