Of Other Worlds Light Beams Consumer Trial Application 
Apply below to be considered as part of the Of Other Worlds Consumer Satisfaction Trial 
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Email *
Name 
What are your main skincare concerns? (check all that apply)  *
Required
If "other" please explain  *
Do you have allergies? If yes, please list below.  *
Are you taking any prescription, topical medications? If yes, please list below.  *
Are you pregnant, trying to become pregnant or nursing? *
How often do you wear sunscreen? *
How often do you do a skincare routine? *
If selected for the consumer trial, I understand I will be required to follow a specific and provided skincare routine for 1 week and submit feedback.  *
If selected for the consumer trial, I understand I will be required to take and submit progress photos of my skin. I understand these photos may be used on the Of Other Worlds website, emails, social media or advertising material.  *
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