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- When you have sent bitcoins, please fill out the following order form (or if you are buying with Amazon code):
- Name + Address:
- Product(s) ordered:
- Bitcoins sent + address sent to:
- Bitcoin address used to send:
- Amazon code (if using this instead of bitcoins):
- Are you using this for non-human consumption, and research purposes only, and are you over 18?:
- Any additional comments?:
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