EmailMeForm
Share Order Form
Request for allocation of Non-Voting Preference Shares. If all shares are sold at time of request any funds will be returned. There are only 1,000 shares available.
Name
*
First
Last
Email
*
Name or email of the person referring you.
*
Number of shares requested at $100 each
*
How paid
Card purchase
CoinPayments
WSA AC Wallet
Email used when buying for card payment; TXID starting with CP for Coinpayments; WSA username for AC Wallet payment.
*
