BlacKrypto Society Membership Application
Please fill out the following form to apply for membership. ONLY APPLY IF YOU ARE READY TO PAY FOR YOUR MEMBERSHIP. Once your application is accepted you will be emailed instructions to complete payment.
Email address *
Mobile Phone #
Preferred Membership Level *
What membership level will you be joining if accepted?
Telegram phone # or username
Download the Telegram Messenger app so we can add you to the private group chat that will be used for the trading signals.
Discord Username *
create an account at if you haven't already. This is where the main discussions and announcements will be posted.
First Name *
Last Name
T-shirt size *
Mailing Address (optional)
So we can send you your free book and t-shirt if you want them.
Waves wallet address *
If you haven't already, download the waves wallet from (desktop, mobile and/or browser) and paste your waves address so you can receive free airdropped coins from time to time. The address will be a long string of characters and start with a 3. Feel free to reach out if you have questions or difficulties.
What is your occupation?
To give us a better idea of the skills/talents available in the group.
Investing Knowledge *
Crypto Knowledge Level *
Crypto Portfolio Value *
What is the current US Dollar value of your crypto portfolio?
How much do you currently or are you willing to invest every month in crypto? *
Are you a software developer/programmer? *
Do you own a business or real estate? *
For real estate, don't include the house you live in
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