PLUS Member Enrollment Form

PLUS Member Enrollment Form
Section 1: Member Info
Company Name
Enter your company name if applicable.
Full Name*

First NameLast Name
Email Address*
example@example.com
Mobile Phone Number*
Please enter a valid phone number.
Where Are You Located?*
City*
State*
Section 2: Your Wallet Setup
Do you currently have a crypto wallet that supports USDC (e.g., Coinbase, Trust Wallet, MetaMask)?*

YesNo
Do you need help setting up a wallet for USDC?

Yes, I need helpNo, I’m good
This tutorial video will walk you through the process step-by-step.
Enter your USDC wallet address to receive payments (Ethereum network only)*
Make sure your USDC wallet address is correct to ensure you receive your referral rewards.
Example: 0xca92be0Eb8F1fc87EA3a250a00b3B65c7d7dBf9e
Final Step: Submit
After you agree to the terms and submit the form, you’ll receive an email with the Super Saver Plus USDC wallet address. A one-time payment of $295 in USDC is required to become a PLUS Member. All referral rewards will be paid to your USDC wallet.
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Section 1: Member Info