Uplist Issuer Contact Form
Thank you for your interest. We are pleased to assist you with the onboarding process.
If you were referred by an affiliate, please provide their details below. Otherwise, you may proceed with the application by clicking "Next" at the bottom of the page. This information helps us track referrals and provide the necessary support throughout the listing process.
Referred by Affiliate
First Name
Last Name
Affiliate Email Address
example@example.com
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Uplist Issuer Contact Form
Representative Name
*
First Name
Last Name
Title
*
Your Position
Phone Number
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Company Name
*
HQ Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Website
*
www.example.com
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Where is your Company domiciled?
*
What is the Company's primary exchange?
*
What is the Company's primary ticker symbol?
*
If listed on more than one exchange, what is the Company's secondary exchange?
*
What should your market cap be?
*
I confirm the above is true and correct.
*
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