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TimestampBitcointalk / Bitcoingarden Username (If you would like to remain anonymous, please enter Anonymous)Payment Addresses (Pay $500 for each slot)Number of slots purchasedTransaction HashBitcointalk / Bitcoingarden username of the person who referred you to make a purchase (Referrer gets 10% of the amount paid in BTC/BCH/ETH plus 10% of coins purchased (1000 INCR per slot).The above username is of which of the 2 forums? If you have entered Anonymous, choose N/AThe above username of your referrer is of which of the 2 forums? If you have entered Anonymous, choose N/A
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