Employee Signup Form - Bitcoin Purchase Plan

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The Block Rewards Bitcoin Puchase Plan program allows you to contribute a percentage of your net pay toward purchasing and saving bitcoin.

Team members can contribute a portion of their payroll into this plan. This should be discussed and agreed to with your internal payroll team, who can provide details on the deduction process.

Team members must set up their own wallet with our customer success team, if they do not already have one, to participate.

Email address *

Your personal email address that you want us to contact you on

Plan Administrator Contact Email *

Full Name *

Bitcoin receiving address *

Type of contribution? *

Choose if you want a fixed dollar amount (example $100) or a percentage of your salary (example 10% of my salary)

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