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LocalBitcoins ATM interest form
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Email
*
Your answer
Name
*
Put your real name or company name here
Your answer
LocalBitcoin username
Your answer
How many ATM model #1:s would you be interested in ordering?
*
1
2-5
5-20
More
I'm interested in the future models with more features
Country, state and city of installation
Where do you plan to install the ATM?
Your answer
Currency of the ATM
Your answer
Output denomination
The ATM can output only single denomination (example: 50 eur note, 20 dollar note). What would be most suitable for your ATM?
Your answer
Ideas/feature requests/suggestions?
Your answer
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