CannaCoin Crypto Grant Application Funding Request
Our objective is to Award 1,000+ Companies CannaCoin Grants
Sign in to Google to save your progress. Learn more
Email *
Business Name *
Phone Number *
Full Company Address
Website *
What is your ownership percentage? *
Do you have proof that your business is filed with a legal entity? *
Do you have a 5-10 year business plan? *
How long have you been in business? *
What are your products or services? *
Please describe in detail the nature of your business, your business model, and how your company operates? *
Do you Accept CryptoCurrency? *
Do you Accept CannaCoins? *
What is your business monthly revenue? *
I acknowledge that listing does not guarantee funding.
I agree if selected our company is willing and able to promote CannaCoin $NAN. *
I acknowledge that I must pay 500,000 CannaCoin in order for my business to be Voted on for Funding. Companies are Voted on by a Peer to Peer Community of Cannabis Enthuasist. *
Required
I acknowledge I have a Legal Cannabis or related business? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms