Tastebud Passport Completion Form

1

Full Name* This field is required.

First Name

Last Name

2

7 Leaves Cafe Mobile App ID* This field is required.Leaves will be provided to only one (1) valid mobile app ID. Multiple entries of different mobile app IDs under the same Tastebud Passport completion will be voided. Your mobile app ID can be found on your profile in your 7 Leaves Cafe mobile app. Phone numbers are not accepted as a response to this question at this time.

3

Email Address* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Submit one (1) photo that contains all seven (7) of the 7 Leaves Cafe CountryPiece Scratchers.* This field is required.Photo must be clear and display all scratchers in its entirety and serial numbers visible on camera. The booklet (passport) does NOT count towards submission. For more information, visit https://7leavescafe.com/tastebudpassport/

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

6

1) Serial Number for Brazil* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of Brazil.

7

2) Serial Number for China* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of China.

8

3) Serial Number for Egypt* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of Egypt.

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4) Serial Number for India* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of India.

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5) Serial Number for Japan* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of Japan.

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6) Serial Number for Thailand* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of Thailand.

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7) Serial Number for Vietnam* This field is required.Input your serial number that is found on your CountryPiece Scratcher for the country of Thailand.

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By submitting this form, you have affirmatively reviewed, accepted, and agreed to all of the Official Rules, Terms and Conditions of the 7 Leaves Cafe Tastebud Passport campaign.* This field is required.

I agree.