Contractor Payment Form

Cobalt Lend

Please make sure this information is filled out accurately and completely to ensure prompt payment. Please pay close attention to the box asking which type of wallet / remittance crypto currency address you are using for us to pay you.

We look forward to working with you again!

Cobalt lend Powered By Crypto Currency

(IE: Job title or Job number you performed for Cobalt Lend / YouTube Influencers put "YouTube")
Wallet address you would like to receive payment to
(IE: Bitcoin Address or Ethereum Address ONLY)
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