Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
EIP Signature Campaing
* Required
Sign in to Google
to save your progress.
Learn more
* Indicates required question
BitcoinTalk Username
*
Copy-paste from your profile
Your answer
BitcoinTalk Profile URL
*
Profile - Summary - copy the link and paste here
Your answer
Telegram Username
*
You can join our official Telegram group following this link:
https://t.me/joinchat/GNeEThHkMrWaVThCtW3afg
Your answer
You Rank
*
Choose
Choose
Member
Full Member
Senior Member
Hero Member
Legendary Member
ERC20 Compatible Wallet Address
*
The MyEtherWallet will be the best choise. DON'T USE WALLETS FROM EXCHANGES!!! There won't be any possibility to change it!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
