Mimir Token Sale Whitelist

Please fill all the fields below to apply to the Mimir Token Sale whitelist. All fields marked with a star(*) are required.

DISCLAIMER:

• WHITELIST:
  Be advised that there is a limited amount of seats in our whitelist. The sending of this application form does NOT guarantee a seat.
  
  

• BANNED COUNTRIES:
  The following countries are banned from entering Mimir’s Token Sale: Afghanistan, Darfur, Iran, Iraq, Lebanon, Libya, North Korea, Somalia, South Sudan, Sudan, Syria, Venezuela, Yemen. Jurisdictions in which participation or ownership of tokens is prohibited by any applicable law; jurisdictions which are subject to United States, United Nations, or other applicable sanctions or embargoes.