Please leave your details below and we will contact you asap regarding the early adopter token sale.
Sign in to Google to save your progress. Learn more
Early Adopter Token Sale - Application Form
Name *
Email *
Phone number
Allocated amount to participate in SocialBlox (with a minimum amount of $500)
In what currency will you complete the purchase ? (USD, EURO or USDT)
Deposit adres (where you would like to receive SBLX-tokens) Make sure it supports all ERC-20 tokens. Like a MEW-wallet, Metamask or IMtoken. Do not use an exchange wallet. * Or send us later, ask for help in our telegram.
Note / Reference
Please make sure to check spam folder if you didn't receive our email. After submitting this form you will receive the application documents that are required for the Early Adopter Token Sale. Please return the documents to: . We are trying to send out the documents within 24h.
NOTE: Please make sure that the filled in address for receiving SBLX tokens is an ERC-20 address that supports Smart contracts. Like IMToken or MEW wallet (Do not use exchange addresses) SocialBlox will not be responsible for any lost tokens.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Socialblox. Report Abuse