MiningCo.ETF direct shares transfer form.
Complete this form to convert your shares to direct shares for liquidation.
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What exchange are your shares from? *
Username on exchange: *
How many shares do you own? *
Public Bitcoin address: *
This is the public address you have in your account at btct.co or bitfunder.com
Public Bitcoin Address Signature
Sign the following phrase with your public Bitcoin address.
Make sure that you do not put any extra spaces or lines before or after the phrase, or you signature will be incorrect.
You can check to see if you signed correctly by visiting:
http://brainwallet.org/#verify 

The phrase to sign is:

miningco.etf

Bitcoin Address Signature *
Optional Information
Additional information that may be helpful.
Your BitcoinTalk forum name:
Your email address:
Submit
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