Start with whitelisting
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What is your first name? *

 
What is your Ethereum Wallet Address? *

Important: Fill this in correctly. This address will be whitelisted and will grant you access to participate in the Blockport crowdsale. Do not use an Exchange wallet address!

If you have no Ethereum Wallet address read this article to set one up: https://goo.gl/hKLYSa

Example of an Ethereum Wallet Address in MyEtherWallet below:
 
Please confirm that you've read and understand the statements described in the Blockport Token Exchange Disclaimer. *

You can find the Blockport Token Exchange Disclaimer here:
https://blockport.io/read-the/tokendisclaimer.pdf
     
 
Do you have a referral code?

A referral code is not necessary for whitelisting
     
 
Please fill in your referral code below *