DIGI Signature Form

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DIGI Signature Form

Must fill in to receive bounty at end of Token sale

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* Indicates required question

Bitcointalk Username *

Your answer

Bitcointalk Profile Link *

Your answer

Bitcointalk Profile Rank *

Jr Member

Member

Full Member

SR Member

Hero/Legendary

Bitcointalk post count *

Your answer

Do you have an avatar to promote us *

Yes

No

Your ETH Address *

Please note this will need to accept erc20 Tokens. If you do not have an address create one at: https://www.myetherwallet.com/. Remember to keep your private key safe.

Your answer

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