C-Card Web Application Form
Referral Code
*
*ie: 6N5X2
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
Residential Address
*
Address
住所
City
State/Territory
Post Code
Select Quantity
*
Please Select
c-card x1
c-card x2
c-card x3
c-card x4
c-card x5
Payment Amount: $600 USDT
Please ensure to send the exact amount to the following payment address. We accept USDT (ERC20 ONLY)
Payment Amount: $1200 USDT
Please ensure to send the exact amount to the following payment address. We accept USDT (ERC20 ONLY)
Payment Amount: $1800 USDT
Please ensure to send the exact amount to the following payment address. We accept USDT (ERC20 ONLY)
Payment Amount: $2400 USDT
Please ensure to send the exact amount to the following payment address. We accept USDT (ERC20 ONLY)
Payment Amount: $3000 USDT
Please ensure to send the exact amount to the following payment address. We accept USDT (ERC20 ONLY)
Payment Address: 0x41fc68CE3B4690B343BD0de2F811C405F9Dddd98
*ERC20 ONLY
Your TXID
*
*Please send your Transaction ID
KYC Document Submission
* Passport must have at least 6 month validation
A picture of your passport
*
Upload
Drag and drop files here
Choose a file
Cancel
of
A selfie holding your passport
*
Upload
Drag and drop files here
Choose a file
Cancel
of
Terms and condition for issuance of C-Card
送信
Should be Empty: