Rewards Redemption Form
Please fill this form to report your registration or order details
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Email *
Your Full Name *
Street Address *
City *
State *
Registration Date
MM
/
DD
/
YYYY
Name of referring Amway Partner
*
Amway Customer Number *
Amway Order Number *
Amway Order Amount in Rupees *
Registration Confirmation Acknowledgement *
Confirm
I confirm I have registered as an Amway customer
Paytm Information (for any promotional payment) or Type NA *
Instagram Handle
Instagram Follower Acknowledgement
Confirm
I confirm I am following the "MyHealth_MySkin" Instagram page
Phone Number (active on WhatApp) *
WhatsApp Group Follower Acknowledgement *
Confirm
I confirm I have joined Health and Skin WhatApp Group
I understand and agree that to receive any promotional discounts and rewards I consent to the following requirements: *
Agree
I must be an active follower of the "MyHealth_MySkin" Instagram page
I must be part of the "MyHealth-MySkin-India" WhatApp Community
I must be a registered Amway customer for this team
A copy of your responses will be emailed to the address you provided.
Submit
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