Application – Token Interest

First Name

Last Name

Business Name

Business Email

Business Phone Number

Website

State

Incorporated In the United States

Yes No

Does your business have a product for sale?

Yes No

Is your business generating revenue?

Yes No

How much money are you looking to raise?

Short Description of Company's Business Plan

How did you hear about us?

Important: By starting and submitting this application, you confirm that:

You are authorized to submit this application on behalf of the issuing company.
The information and documents you provide are complete and accurate to the best of your knowledge.
You understand that Token Interest LLC is a registered funding portal and does not provide legal, accounting, tax, or investment advice.
You are responsible for complying with all applicable securities laws and regulations, including the filing and accuracy of your Form C and other required disclosures.
You agree to abide by the portal’s Terms of Use, Privacy Policy, and all regulatory requirements for issuers using the platform.

Submitting this application does not guarantee that your campaign will be approved. Each application is subject to review for eligibility and compliance.

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