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Please enter the details of your request. Please also add a Payment ID if you have one.
Transaction ID (if known)
Your full name as it is written on the card
First 6 digits of the card that was used for this transaction
Last 4 digits of the card that was used for this transaction
Besides you who else has access to your personal information?
Was any of your personal information stolen? If yes, please specify.
Have you ever purchased cryptocurrency yourself? If yes, when was that last time you made a transaction?
Did you make this transaction yourself?
Did you use a personal wallet address that you have an access to?
What product or service you have tried to pay for with this transaction?
What is the name of the person/company that scammed you?
Any additional information.
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