support@axchange.xyz

VOTING REQUEST

COIN and TOKEN listing on AXCHANGE

APPLICATION FOR COINVOTING LIST

For to list a new coin on our voting list, please fill below form carefully, we will list your coin within 24 hours.
Your Email Address
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Field is required!
Your First Name
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Field is required!
Your Last Name
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Field is required!
What listing do you request?
PLEASE SELECT!!!
PLEASE SELECT!!!
COIN NAME
COIN NAME
Field is required!
Field is required!
COIN SYMBOL
like BTC, BCH, etc.
YOUR COIN SYMBOL
Field is required!
Field is required!
CURRENCY WEBSITE ADDRESS
http://
Field is required!
Field is required!
COIN IMAGE
coin icon upload
Upload your COIN IMAGE
Field is required!
Field is required!
TOKEN NAME
TOKEN NAME
Field is required!
Field is required!
TOKEN SYMBOL
YOUR TOKEN SYMBOL
NOT MORE THE 6 DIGITS
NOT MORE THE 6 DIGITS
TOKEN WEBSITE ADDRESS
http://
Field is required!
Field is required!
TOKEN IMAGE
Token icon upload
Upload your COIN IMAGE
Field is required!
Field is required!
Additional Description
Additional Description
Field is required!
Field is required!
I CONFIRM THAT ALL INFORMATION IS CORRECT
Field is required!
Field is required!