Apply for pre sale

Only persons from the following jurisdictions will be considered for the La Estancia Security Token Offering.

USA, Canada, Singapore, Japan, Hong Kong, Taiwan, Thailand, Philippines, France, Germany, Italy, Spain, Malta, Switzerland, Luxembourg, Lichtenstein, UK, Russia, Colombia, Venezuela, Brazil, Argentina and Chile

 

Please complete the form below

Name *
Name
Date of birth
Date of birth
Home Address
Home Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Employed Since
Employed Since
Business Address
Business Address
Business Phone
Business Phone