Share Order Form
Request for allocation of Non-Voting Preference Shares. If all shares are sold at time of request any funds will be returned. There are only 1,000 shares available.
Name or email of the person referring you.
Number of shares requested at $100 each
WSA AC Wallet
Email used when buying for card payment; TXID starting with CP for Coinpayments; WSA username for AC Wallet payment.