Become a Brand Ambassador

Love Scrubs?

Sign up today to become a Jai Q Scrubs Ambassador!

The form is simple and takes about 5 minutes to fill out.

Please fill out the form with your name, email and phone number.

Use the comment section and explain why you would like to become an Ambassador!

A Staff member will be in touch if you are selected. More information will be provided at that time! Good luck!

Contact form