Patriot Exchange Listing Request Form
Please fill this form to apply for a Coin/Token listing on patriotexchangeusa.com.  The information you provide may be made public later.
**Filling in this application form does not guarantee that a Coin/Token will be listed on our exchange.
**Patriot Exchange team will review this form within a week of submission.
**You will receive an email from the support-px@patriotexchange.net with more details.
Sign in to Google to save your progress. Learn more
Email *
Contact Info? (Please provide your Name, Email, Nickname) *
Are you a part of the team of this Coin/Token that you are wanting to get listed? *
Project Coin/Token Name and Ticker? *
Project Coin/Token website url? (We will not list any coins that do not have SSL cert url. ex=http:// your site has to have https://) *
Which code base did your coin get forked from? Please list the coin name and version.
Is your project a token? *
If you said yes to the question above, please list the chain that the token is currently running on. At this time we only list tokens on the following netowrks. (Ethereum, Binance, Tron) However, we will keep this in our records so that we can email you when other tokens can be added.
Clear selection
Is this project open source? *
What type of coin is your project? (For erc20 tokens please check token)
Clear selection
Link to github/gitlab/bitbucket? Note: If it's a token, please list the Smart-contract address / Asset ID. *
Coin/Token block explorer? (It is good to have more then 1 explorer in case 1 goes down)
Link(s) to coinmarketcap/coingecko/delta/other? *
Community links? (Discord,Telegram etc.)
Total Supply / Current supply? *
What percentage does the project team own of the current supply? *
Do you want be a Patriot Exchange partner? If YES then you will be added on our home page in our partner section and we will do lite promoting via social media platforms and make you a page & group on WehubSpace if you do not have one.
Clear selection
Do you want to add liquidity?
Clear selection
Which exchange(s) are you currently listed on? *
If your project is listed on any exchanges, please list your avg 24hr trade volume on each exchange or the top 3.
Is your project an ICO/IEO?
Clear selection
Any other information that you would like to provide us?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms