La Nova Tile 2018 Holiday Gift Interface Token and Chromie Squiggle Request Form
Hey there! Please fill out the form below and we'll get you set up with your own shiny Interface Token representing the block number that is noted on your Squiggle print. We'll also register your Chromie Squiggle and send you a high resolution (vector) file of your squiggle for you use any way you want! In order to complete this form you must have an Ethereum address to send the Interface Token to. We suggest installing the Metamask extension in your browser otherwise you are welcome to use a mobile Ethereum wallet like Cipher or Trust Wallet.
Name *
Your answer
E-mail *
Your answer
Ethereum Address (starts with 0x). This is the address you created by installing the Metamask extension per the instructions. This is not for the hash string printed on the back of your squiggle. *
Your answer
Block Number (noted on back of your squiggle print, starts with #676xxxx) *
Your answer
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