MunchCoin Project Receipt Submission
BY FILLING OUT THIS FORM YOU GIVE US THE RIGHT TO STORING ANY INFORMATION CONTAINED ON THE FILE ATTACHED (RECEIPT).

PLEASE COVER/MARK UP ANY INFORMATION REGARDING CREDIT OR DEBIT CARD NUMBERS ON THE RECEIPT.

PLEASE REVIEW OUR PRIVACY POLICY HERE https://munchcoin.co/privacy-policy

Email address *
MEW ETH Address *
Eatery Name *
Receipt *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service