Dispute Notice

MoonDAO™ Initial Dispute Notice

First Name:* _____________________________________________________________

Last Name:* _____________________________________________________________

Street Address:* ________________________________________________________

City:* ___________________________________________________________________

State:* __________________________________________________________________

Zip Code:* ______________________________________________________________

Email Address:* ________________________________________________________

Telephone Number:* __________________________________________________

Description of Dispute:* _______________________________________________

________________________________________________________________________

_________________________________________________________________________

Desired Outcome: _____________________________________________________

________________________________________________________________________

Email Notice to: LuckDAO Limited d/b/a MoonDAO

(*Required fields)