Email Address(Homasy Vip Account)*
First Name*
This is requested
Last Name*
This is requested
Country*
${countryForamtter(form.country)}
This is requested
City*
This is requested
Date of Birth*
${timeGroup}
Please select Date
Gender*
${genderFormatter(form.gender)}
Please select Gender
Amazon Profile URL*
Please enter the Correct Amazon profile URL
Have You Purchased Homasy Products Before?
${item.name}
Amazon Order Number*
Please enter the Order Number
Incorrect order number, please input again.
Country*
${countryForamtter(form.country)}
Please select the Country
Self-recommend to apply for Homasy free product testing qualification.
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