The Application for Venom Family gave me error

Application from web3tyan

I tried a lot of times to fill this form but there is an error.
2 days ago I only opened the form to see the questions, because I need a time to fill it professional.
I swear, I didnt click on “Submit”.
I tried delete the cache but this didnt help , from one Pc and then from my phone.

I created a file with all answers on questions:

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I appreciate you bringing this to our notice, I will let the team know about it.

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