Spritz Beta Request Form 🍹

Cheers to joining the Spritz waitlist and interest in our private beta!

At Spritz, our mission is to automate financial freedom for millions of people by connecting real-world expenses to DeFi. We're starting by making it simple to pay IRL bills, including credit cards, utility bills, mortgage payments and more with crypto. Plus, off-ramp to your bank directly from your wallet!

We’d love to get to know you! Please take a couple of minutes to answer the questions below. We'll use this survey to serve you better and improve our overall customer experience as we onboard early access users.

Thanks,
The Spritz Team

😃 About you

First name

Last name

Email*

How did you hear about Spritz?

If customer referral, please specify the referral source.

Please include the name of the Spritz user who referred you or the name of the affiliate partner.

What country do you live in?*

What state do you live in?*

Are you interested in using Spritz as an individual or from a business account?

Individual account

Business account

💳 Bill types

If you answered "Other" above, please specify which bill type you'd like to pay with crypto.

Which specific bill pay accounts would you like to make crypto payments to?

💰 Your crypto and DeFi activities

Are you active in DeFi?*

Do you buy, sell, swap, lend/borrow, farm, or stake assets using decentralized protocols?

Yes

If yes, what DeFi protocols have you used in the past 30 days?

What do you estimate the total value of your crypto holdings to be?*

Less than $1,000

$1,000-$10,000

$10,000-$100,000

Over $100,000

If you answered "Other" above, please specify which blockchain networks you're most active on.

If you answered "other" above, which crypto assets do you hold and would like to make bill payments with?

Where do you store most of your crypto and digital assets?*

Hot wallet

Cold wallet

Centralized exchange

Other

Please specify*

Add your wallet address to be prioritized for our Beta access.

Active wallet addresses with assets on Polygon get priority!

🗓️ Availability

Why do you want to use Spritz?

Let us know how we can best help you, and what you're looking for in a crypto bill pay platform.

What is your earliest availability for a beta user research call?

Month/Day/Year