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Bitcointalk Username
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Bitcointalk profile Link
*
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Email Address
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This is where we will contact you in regards to your proposal. Only successful proposals will receive an email for further steps to be taken.
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Telegram Username
*
Your answer
The Proposal
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Desired Price if any
*
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ERC-20 Wallet Address
*
(Myetherwallet is recommneded, do not send an exchange's address!)
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