Altilly Funds Claim
More information at
altilly.com
.
The details you provide in this form will help us establish the users affected by Altilly Exchange attack.
You can use this form to claim your assets that will be paid back in the future.
Only users that had a balance with a value of more than 10 USD will be paid back.
Users that obtained funds through airdrops or faucets or any methods where they were gifted assets for free, will not be repaid.
* Required
Email address
*
Your email
Username at Altilly
*
Your answer
Your telegram handle/id
for example: @altilly
Your answer
Email address used at Altilly
*
Your answer
Email address where we should contact you
*
Your answer
Phone number
Your answer
Country of Residence
*
Your answer
Are you a coin developer or a user?
*
Coin developer
Altilly User
Estimated value in holdings at Altilly? (USD)
*
Value in USD
Your answer
You understand that you will not receive assets that were gained using the faucet?
*
Yes
No
Can you provide a list of assets you were holding with the amount? (estimate)
Your answer
Do you have tx-id's or addresses that you can remember where you transferred your funds to on Altilly? Please fill in.
Your answer
Alternatively, would you be willing to accept a token that can later be redeemed for other currencies at the same value?
*
This will give us more time to collect the funds and pay everyone back.
Yes
No
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