Week 4 Topic:#LittleThingsThatHelp

Hi Mamas,
Thank you so much for participating in our wipes trial activity!


To ensure your reward arrives safely, we need to collect some necessary contact information and your shipping address. Please rest assured that your personal information will only be used for shipping purposes and will not be shared or used for anything else. We take your privacy seriously and will protect your information with the utmost care.


This form is for moms participating in the Momcozy trial activity. Once you've filled it out, we'll process your information and ship your wipes as soon as possible so you can start enjoying them right away!


⏰ Deadline for Week 4 Topic #LittleThingsThatHelp Form Submission: April 19, 2026

After the form submission deadline, we will review all submissions. The first 50 eligible participants will have their wipes shipped to them.
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1.
Community Username
(Please provide your username on Momcozy Community so we can verify your participation.)
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2.
Momcozy Member Email 
(Please provide the email address you registered with for your Momcozy account. This will be used for reward fulfillment and future notifications regarding your participation.)
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3.
Recipient Name
(Please provide the full name of the recipient. This will be used for shipping purposes and to ensure your reward reaches you.)
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4.
Contact Phone Number
(Please provide a valid phone number for shipping purposes. This will help ensure your reward is delivered smoothly.)
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5.
Country / Region
(Please enter your country or region, e.g., United States, to help us ensure accurate delivery of your reward.)
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6.

State / Province

(Please enter your state or province, e.g., California, to help us ensure accurate delivery of your reward.)

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7.
City
 (Please enter your city to help us ensure accurate delivery of your reward.)
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8.
Postal Code
(Please enter your postal code to help us ensure accurate delivery of your reward.)
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9.
Detailed Address
(Please provide your full address, including street, city, and postal code, to help us ensure accurate delivery of your reward.)
eg: 1234 Elm Street Apt 5B, Los Angeles, CA 90001, United States
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10.
Post Screenshot
(Please upload a screenshot of your post for verification to ensure it meets the content requirements.)
点击上传
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11.
Post Link

(Please provide the link to your post to help us find the original post easily.)

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