Paybis Ltd.

E-mail and visit:

35/3 Buchanan Street, support@paybis.com
Edinburgh, EH6 8RB, UK www.paybis.com

Buyer’s Declaration

I, full name ________________________________________________________, would like to make a

cryptocurrency purchase on Paybis.com.

I confirm that I am buying the cryptocurrency to my own wallet and understand that
it is my sole responsibility how to spend it afterwards.

I confirm that my computer is not being remotely controlled and I have not been
instructed by anyone to make this payment.

Date: _____________________

Signature: _____________________