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Name Required

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Email address Required

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Telephone number Required

Number of characters 20 or less Current number of characters 0

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Screenshot showing ETH remittance Required

File size is 100 MB or less.

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Deposit amount Required

Notation in the legal currency of your country

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MetaMask or MEW ETH address to receive AURA Required

If the receiving address is incorrect, you will not be able to resend money.

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Remarks column Optional

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Introducer name Required

If you are unsure, please enter "AURA"

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