Algogems Exclusive XList Membership NFT Sign Up Form

This form should only be completed by new XList Members who have have purchased an Exclusive XList Members NFT on the Algogems NFT Marketplace.

First things to do after you buy your Exclusive XList Members NFT

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Email *
First & Last Name *
Discord username *
Pera or MyAlgo Wallet Address *
Xumm Wallet Address *
Email Address of Exclusive XList Member who referred you
A copy of your responses will be emailed to the address you provided.
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