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Please confirm the below information:
1) 0.0005 BTC - This is the amount I wish to donate of my own free will with no expectation of return.
2) I understand and acknowledge that should I not honor any donations I make of my own free will that I risk having any and every privileges associated with 128BTC revoked.
3) I confirm that () is a valid email address and belongs to me.
4) I confirm that () is a valid BTC address and belongs to me.

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