Personal Details
Samsung Members Username
*
Samsung Account Email
*
example@example.com
Name (Legal Name)
*
First Name
Last Name
Active Email Address (If different to Samsung Account Email)
example@example.com
Age
*
Samsung Experience
Please note that answering with zero does not impact your chances
What Samsung Smartphone do you own?
*
What Samsung Wearables do you own? (Earbuds or Watch)
*
What Samsung TV products do you own?
*
What Samsung Digital Appliance do you own? (Refrigerator, Washing Machine, etc)
*
How many times have you attended a local Samsung event?
*
How many times have you attended a regional Samsung event?
*
How many times have you attended a global Samsung event?
*
Expectations and Commitment
How willing are you to report your activities as a Samsung Members Star to your Community Manager?
*
Not Willing
1
2
3
4
5
6
7
8
9
Very Willing
10
1 is Not Willing, 10 is Very Willing
What is your expectation if you are chosen as a Samsung Members Star?
*
Community and Social Channels
Please answer N/A for non-applicable
Members Community Profile Link
*
Instagram Link
*
Twitter Link
*
Youtube Link
*
Other Social Link
*
Submit
Should be Empty: