Introduction

Thank you for your interest in staying in touch with BitcoinCensus.

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We will make no effort to link data from this form to our other survey records.

Please provide us with your e-mail address and answer a few contact preferences.

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1. Please enter your e-mail address. Anonymous addresses (not containing your name) and personal accounts (hotmail, gmail, etc) are preferred. (Required.)

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2. Please indicate your contact preferences (select all that apply).

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3. Please indicate your contact preferences (select only one option). (Required.)

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