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AntminerS1 180GH/S Shipping Form (January 6, 2014)
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BitcoinTalk Member Name
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E-Mail Address
*
Tracking Notification
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Name
*
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Street Address
*
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City/State/Providence
*
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Postal/Zip Code
*
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Country
*
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Phone Number
*
Must have this to ship
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How Many Unit of AntMiner 180GH?
*
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Total Paid
*
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Payment Address to SUSHI
*
Address You Sent Your BTC (The Address I Sent to You via PM/E-mail)
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Payment Method
*
BTC
Customs Declaration
*
Choose
Computer Accessories @ $1,900 USD
As Usual @ Your Own RISK
Hosting Option
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*** SEND ME MY ANTS. DO NOT HOST!!! ***
PLEASE HOST - (Bill Me Later for Hosting Fee)
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