BitLumens Bounty KYC Form
All Bounty Participants must complete this form prior to any stakes being given for the BitLumens Bounty Campaign.
First Name *
Your answer
Middle Name (optional)
Your answer
Last Name / Surname *
Your answer
Nationality/Citizenship *
Your answer
Bitcointalk Username *
Your answer
Bitcointalk Profile URL *
Your answer
Telegram Username *
Your answer
ERC20 Token Wallet Address (No Exchange Addresses) *
Your answer
Email Address *
Your answer
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