Shopin: Proof of Wallet
This form is for token holders of Shopin that have registered with Shopin that are distributing to member wallets within their group during the lockup period.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number
Your answer
Ether Wallet Address for Mainnet Use
(If Different from Rinkeby Address. You can use the same wallet on both)
Your answer
Ether Wallet Address for Rinkeby
Your answer
Total Amount of Shopin Tokens
Your answer
Are you distributing to any American Citizens? *
Are there any groups inside your group that would need to distribute to their members during the lockup period?
Your answer
Is there anything we should know about your group/data?
ex: Missing certain wallet addresses, tokens are split across 2 wallets, all I have is a spreadsheet, etc
Your answer
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