Bitcointalk Signature Campaign Form

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Bitcointalk Signature Campaign Form

Please fill this form to submit a bounty task and request your reward.

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* Indicates required question

BitcoinTalk Username *

Your answer

Bitcointalk Account ID *

Captionless Image

Your answer

Email Address *

Your answer

BitcoinTalk Account Rank *

Jr. Member

Member

Full Member

Sr. Member

Hero / Legendary

Current Post Count *

Your answer

Are you joining the avatar campaign as well? *

Yes

No

Ether Wallet *

Ether Wallet (ERC20) you want to receive your reward

Your answer

Submit

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