AXISCHAIN

Seed Round
Purchase Request

IEO once Seed Round closes

First Name

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Last Name

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Your Email

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Country

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Add Identification Proof Document!

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Wallet Deposit Address

Wallet Deposit Address is required.

Total Quantity

Minimum purchase quantity is 15000 Tokens.

Optional Message

PRICE DETAILS

Token Quantity

Seed Round Token Price

$0.02

Total Amount

Please find wallet deposit addresses below:

ETH: 0x43eacf55738Acf1e544fC79fCE377A9DE406497f
LTC: ltc1qkdees4npnwk7wywr322kmucs7ekr2mlktpthgw
BTC: 1JvP8ukrQwY5dF5QYE6E13nMtT9Fd1XsWk
BCH: bitcoincash:qrzf92dwp0n5v8sldkxqzrc308adenvvwy9twyfgul
LINK: 0x43eacf55738Acf1e544fC79fCE377A9DE406497f

Total Quantity

Minimum purchase quantity is 100

Optional Message

PRICE DETAILS

Per Token Cost

Current Market Price

Total Quantity

Minimum purchase quantity is 100

Optional Message

PRICE DETAILS

Per Token Cost

Current Market Price

I hereby declare that the information provided in this form is accurate and complete. I confirm that any information is found incorrect and/or incomplete that leads a violation of regulations may initiate legal actions, and I accept that I am the responsible party for any and all charges, penalties and violations.

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