Claim Your FOLO Token | Alpha Impact

First Name

Last Name

Email

Security Question

We need this information for compliance reasons.

Country

Staking Information

Please submit 1 form per staking pool.

Which token did you stake? (Select 1 option only - submit 1 form per staking pool)

IMPACT

UNI-V2

Wallet Address

Which staking pool/smart contract did you use?

If others, please share a link to the website.

Staking Verification

We need this information for validation purposes and to prevent fraud.

When did you stake your tokens?

What was the amount of IMPACT or UNI-V2 tokens originally staked? (Please state the number of tokens and NOT a dollar value)

Please share the Etherscan transaction ID (TXN Hash) link showing the deposited/staked IMPACT or UNI-V2.

Withdrawal Details

You must withdraw your tokens from the staking pool so that the tokens are in your wallet address.

When did you withdraw?

What is the total amount of IMPACT you have withdrawn?

What is the total amount of UNI-V2 you have withdrawn?

Please share the Etherscan transaction ID (TXN Hash) link showing the withdrawal/unstaked IMPACT.

Please share the Etherscan transaction ID (TXN Hash) link showing the withdrawal/unstaked UNI-V2.

I am aware that I have to withdraw my tokens from the staking pool and have the tokens in my wallet address in order to qualify for a claim.

Any remarks or comments to management? (optional)

By clicking the 'I agree' button, you consent that you will ONLY receive an airdrop once your claim has been approved which has a processing time of approximately 30-40 days.

I agree.

Security Question

Staking Information

Staking Verification

Withdrawal Details

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