Whitelist Bounty Campaign Registration
Application form for participants of the Bitwin Whitelist Bounty Campaign

Don't forget to apply on the Bounty thread.
Note down the number of your application post.
Hint -- https://imgur.com/a/TFR03Du

Join Bitwin Bounty Telegram Group - https://tinyurl.com/y8y83ak9
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Bitcointalk / Altcoinstalks username
Bitcointalk / Altcoinstalks profile link *
Number of application post from forum *
Telegram username *
Facebook profile's link *
Whitelist email address *
ERC-20 wallet address *
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