Please complete and send us the form below in order to be able to participate in the upcoming ICO for the UKasii Blockchain Cash-back Rewards and Loyalty eCommerce Platform.

Name *
Address *
How much are you looking to invest in UKasii Coin? *
Will you look to exchange any of your UKasii Coin to Kasii Token during the ICO? *
You will have the option to exchange 25% or 50% of your UKasii Coin investment into Kasii Tokens during the ICO period only. Kasii Token can be spent at any UKasii Partner.
Please read carefully and check all of the boxes, only if applicable. *
False declarations may lead you to be excluded from the ICO.