JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sync City Hotspot Lease
Please Add 1 Payment Information:
(1) ACH/Bank Info (USD Payment)
OR
(2) HNT Deposit Wallet Address (Helium Crypto Payment)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name (or Business Name)
*
Miner Host
Your answer
Address(es)
*
Add Multiple Addresses if Needed
Your answer
Phone Number
*
Your answer
Lease Start Date
*
MM
/
DD
/
YYYY
Payment Method (We cannot pay hosts without payment information!)
*
USD (ACH/Direct Deposit)
HNT (Crypto)
Helium Deposit Wallet Address (For HNT Payment)
Your answer
Bank Name (For USD Payment)
Your answer
Bank Account Number (For USD Payment)
Your answer
Routing Number (For USD Payment)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Sync City LLC.
Report Abuse
Forms
