Application Form For Galaxy Foundation Members
Use this form to Apply to be part of the Galaxy Foundation Investment fund.
Email address *
Your Full Name *
Your Driving License / Passport / National IDn *
You can blank out any numbers just make sure you face and name is clear.
Required
Selfie/Image of your face. *
Required
Your Telegram Username Starting with @ *
You Discord Username including Number (VERY IMPORTANT) ex. Name#xxxx *
DOUBLE CHECK THIS IS CORRECT
Are you a member of theBitcoin.Pub? *
If you are a member of Thebitcoin.pub what is your username?
How did you find out about our investment fund? *
If you have a friend that is already a member and has referred you here, then add their discord username HERE!
Choose your country of Residence
Have you invested in an ICO before? *
How many ICOs have you Invested in? *
On Average how much do you invest (in ETH) per ICO you invest in? *
Why do you want to Join the Galaxy Foundation & why should you be accepted over others on the waitlist? *
You understand and accept that this form is to become an associate of a Venture Capital fund. *
Required
You understand that investing in ICO's is risky and you have to do your own research? *
Required
You understand and accept that all information contained within the galaxy foundation group is private and confidential and any members discussing this information outside the group will be banned forever without warning. *
Required
You understand and accept that before participating in any investment with the Galaxy Foundation you must read all the rules and information provided and also join the announcement channel. *
Required
You understand that even though you fill this form spaces are limited and there is no guarantee you will be accepted into the Galaxy Foundation *
Required
You accept & understand that all information, comments and documents from Galaxy Foundation are NOT financial advice and nobody in the Galaxy Foundation team is a financial, legal or tax advisor. *
Required
A copy of your responses will be emailed to the address you provided.
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