Email address ^*

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Name ^*

First Name ^*

Last Name ^*

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Gender ^*

Male

Female

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Country ^*

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State/City (for Nigerians) ^*

If you live in Nigeria, please enter your state and city. Otherwise, If you're not in Nigeria, you can type N/A.

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How familiar are you with Bitcoin? ^*

Not at all familiar

Slightly familiar

Moderately familiar

Very familiar

Expert

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Are you active on social media? ^*

Yes

No

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Link to social handles (X, IG, LinkedIn)

Paste links to your profiles. If none, type N/A.

/

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Why should you be chosen as a Citrusrate ambassador? ^*

/

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Are you ready to dedicate time for the role? ^*

Yes

No

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Citrusrate Ambassador Application Form

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