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BASIC INFORMATION

First Name

Last Name

Phone number

E-mail

Password

Confirm password

Password Complexity:

Minimum 9 Characters

You need at least 3 rules:

Lowercase Latin Letters

Uppercase Latin Letters

Digits

Symbols / Special Characters

Gender

Day

Month

Year

City

Postal Code

Address

Address (Additional)

Primary brand

Secondary brand

How did you find out about IQOS?

Referral code

Would you like to receive promotional notification via mobile phone number?

Would you like to receive promotional notification via phone number?

Would you like to receive promotional notifications via Viber?

Would you like to receive promotional notification via e-mail?

Would you like to receive promotional notification via postal mail?

Would you like to be contacted regarding marketing research?

Would you like your data to be used for the purpose of user profiling?

I accept terms and conditions for participating in the IQOS Care Plus.