JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Origyn community form
Spend a few minutes to fill carefully your informations
Sign in to Google
to save your progress.
Learn more
* Indicates required question
- What is your first name ?
*
Your answer
- What is your last name ?
*
Your answer
- What is your email ?
*
Your answer
- Where do you live ?
*
Your answer
- What is your Telegram ID ?
*
Your answer
- What is your Discord ID ?
*
Your answer
- Name all languages you speak
*
Your answer
Why do you want to be an Origyn ambassador ?
Your answer
- How do you want to contribute ? (don't forget to add your social media account if you plane to use it)
*
Your answer
- Do you use CEX or DEX ? (Please name them)
*
Your answer
- Are you already a KOL ? If yes tell us where you publish your content.
*
Your answer
- What is your OGY wallet address ?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of origyn.ch.
Report Abuse
Forms
