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Asset Issuer Intake Form

Identify your relationship to the project
Is your asset live?
255 characters remaining
255 characters remaining (Please describe the utility of your project and token. Please make sure to differentiate between utility that is currently live (or that will be live at TGE if your asset is pre-launch) and utility that is expected as part of your roadmap)
255 characters remaining (Add each executive of the company. For each, include full name, date of birth, and links to any relevant online or social media profiles (e.g. LinkedIn, Twitter, GitHub, personal website))
Will your asset and platform be available in the US market?

Address of Incorporation

Does your token contract have superuser privileges?

How would you categorize your asset? (Select up to 5)

Enter a link to your asset icon
255 characters remaining (Is there anything else you'd like to share with us?)

By entering your name above and signing the agreement, you agree that the information you provide is truthful. You agree to abide by the terms of the agreement (including but not limited to the non-disclosure provision, the restrictions on market manipulation, and the obligation not to use any of the information you receive for or allow a third party to engage in market manipulation). Please read the following document over carefully. Coinbase Listing Services Agreement

Are you signing on behalf of an entity?