1) Your Bitcointalk username: Darkheartisland
2) Telegram username: Jscott957
3) Email address you used to register on VELIC website: jscott957@gmail.com
4) Which campaign(s) you are participating in: Website Registration, Subscribe Newsletter, Join Telegram
5) ETH wallet address:0x5e6FE492d7b21904207c310362ac24a87A87C93b