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https://bit2me.com/api/v1/crm/listing

<form action="https://bit2me.com/api/v1/crm/listing">
  <div class="row">
    <fieldset class="col-5 form-group" data-fieldset="name"><label for="name">* First Name</label><input type="text" name="name" data-field="name" placeholder="First Name" required=""><span class="feedback small">Required field</span></fieldset>
    <fieldset class="col-7 form-group" data-fieldset="lastname"><label for="lastname">* Last name</label><input type="text" name="lastname" data-field="lastname" placeholder="Last name" required=""><span class="feedback small">Required field</span>
    </fieldset>
    <fieldset class="col-12 form-group" data-fieldset="email"><label for="email">* Email</label><input type="text" name="email" data-field="email" placeholder="Email" required=""><span class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 col-sm-6 form-group" data-fieldset="companyName"><label for="companyName">* Company</label><input type="text" name="companyName" data-field="companyName" placeholder="Company" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 col-sm-6 form-group" data-fieldset="companyWebsite"><label for="companyWebsite">* Website</label><input type="text" name="companyWebsite" data-field="companyWebsite" placeholder="https://" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="country"><label for="country">* Country</label><select class="ng-select" name="country" data-field="country" required="">
        <option value="">Select a country</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ad.svg" value="AD">Andorra</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ar.svg" value="AR">Argentina</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/au.svg" value="AU">Australia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/at.svg" value="AT">Austria</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/be.svg" value="BE">Belgium</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/bo.svg" value="BO">Bolivia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/br.svg" value="BR">Brazil</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/bg.svg" value="BG">Bulgaria</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ca.svg" value="CA">Canada</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/cl.svg" value="CL">Chile</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/co.svg" value="CO">Colombia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/cr.svg" value="CR">Costa Rica</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/hr.svg" value="HR">Croatia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/cw.svg" value="CW">Curaçao</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/cz.svg" value="CZ">Czech Republic</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/dk.svg" value="DK">Denmark</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/dm.svg" value="DM">Dominica</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/do.svg" value="DO">Dominican Republic</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ec.svg" value="EC">Ecuador</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/sv.svg" value="SV">El Salvador</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ee.svg" value="EE">Estonia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/fi.svg" value="FI">Finland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/fr.svg" value="FR">France</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gf.svg" value="GF">French Guiana</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ge.svg" value="GE">Georgia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/de.svg" value="DE">Germany</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gr.svg" value="GR">Greece</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gl.svg" value="GL">Greenland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gp.svg" value="GP">Guadeloupe</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gt.svg" value="GT">Guatemala</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gy.svg" value="GY">Guyana</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/hn.svg" value="HN">Honduras</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/hu.svg" value="HU">Hungary</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/is.svg" value="IS">Iceland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/in.svg" value="IN">India</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ie.svg" value="IE">Ireland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/il.svg" value="IL">Israel</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/it.svg" value="IT">Italy</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/lv.svg" value="LV">Latvia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/lt.svg" value="LT">Lithuania</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/lu.svg" value="LU">Luxembourg</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/mt.svg" value="MT">Malta</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/mq.svg" value="MQ">Martinique</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/mx.svg" value="MX">Mexico</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/md.svg" value="MD">Moldova</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/mc.svg" value="MC">Monaco</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/me.svg" value="ME">Montenegro</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/nl.svg" value="NL">Netherlands</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/nz.svg" value="NZ">New Zealand</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/no.svg" value="NO">Norway</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/pa.svg" value="PA">Panama</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/py.svg" value="PY">Paraguay</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/pe.svg" value="PE">Peru</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/pl.svg" value="PL">Poland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/pt.svg" value="PT">Portugal</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/pr.svg" value="PR">Puerto Rico</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/kr.svg" value="KR">Republic of Korea</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ro.svg" value="RO">Romania</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/sk.svg" value="SK">Slovakia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/si.svg" value="SI">Slovenia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/gs.svg" value="GS">South Georgia</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/es.svg" value="ES" selected="">Spain</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/se.svg" value="SE">Sweden</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/ch.svg" value="CH">Switzerland</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/tw.svg" value="TW">Taiwan</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/uk.svg" value="UK">United Kingdom</option>
        <option data-image="https://assets.bit2me.com/assets/images/flags/svg/uy.svg" value="UY">Uruguay</option>
      </select><span class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 col-sm-6 form-group" data-fieldset="projectName"><label for="projectName">* Project Name</label><input type="text" name="projectName" data-field="projectName" placeholder="Project Name" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 col-sm-6 form-group" data-fieldset="projectSymbol"><label for="projectSymbol">* Symbol or coin ticker</label><input type="text" name="projectSymbol" data-field="projectSymbol" placeholder="Project asset symbol"
        required=""><span class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="projectWebsite"><label for="projectWebsite">* Project Website</label><input type="text" name="projectWebsite" data-field="projectWebsite" placeholder="https://" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="projectLink"><label for="projectLink">* Coinmarketcap / Coingecko link</label><input type="text" name="projectLink" data-field="projectLink" placeholder="https://" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="teamMember"><label for="teamMember">* Are you part of this project's team?</label><select class="ng-select" name="teamMember" data-field="teamMember" required="">
        <option value="" selected="">Select an option</option>
        <option value="Yes">Yes</option>
        <option value="No">No</option>
      </select><span class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="icoCompletionDate"><label for="icoCompletionDate">* ICO launch date</label><input type="date" name="icoCompletionDate" data-field="icoCompletionDate" required=""><span
        class="feedback small">Required field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="message"><label for="message">* Why should we list this cryptocurrency?</label><textarea name="message" data-field="message" required=""></textarea><span class="feedback small">Required
        field</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="terms"><label for="terms" class="form-check pl-0"><input type="checkbox" name="terms" data-field="terms" required=""><span> I have read and accept
          <a href="https://bit2me.com/legal/terms" title="Terms and Conditions">the terms and conditions</a> and <a href="https://bit2me.com/legal/privacy" title="Privacy Policy">the privacy policy</a>. </span></label><span class="feedback small">You
        must accept the conditions</span></fieldset>
    <fieldset class="col-12 form-group" data-fieldset="captcha">
      <div id="crm-listing-modal-grecaptcha" data-field="captcha"></div><span class="feedback small">You must solve the captcha</span>
    </fieldset>
    <fieldset class="col-12 form-group submission">
      <div class="button-wrapper"><button id="crm-listing-submit-button" class="b2m-component b2m-button primary filled large hug " data-state="idle">
          <div class="button-inner"><span class="button-state-wrapper idle"><span class="text">Submit</span></span><span class="button-state-wrapper loading"><i class="b2msf-reload"></i><span class="text">Submit</span></span></div>
        </button></div>
      <div class="feedback error small mt-4"></div>
    </fieldset>
  </div>
</form>

Text Content

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Bit2Me is a trademark registered by the company Bitcoinforme S.L. (Tax ID
B54835301), operating since 2015 in Spain (Europe) and protecting our customers
and the funds provided with special accounts from our partners (More
information), complying with current regulations on Anti-Money Laundering and
Counter-Terrorist Financing.

Bit2Me is a company registered with the Bank of Spain with the number D592 for
custody services and buying and selling digital assets.

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* First NameRequired field* Last nameRequired field* EmailRequired field*
CompanyRequired field* WebsiteRequired field* CountrySelect a
countryAndorraArgentinaAustraliaAustriaBelgiumBoliviaBrazilBulgariaCanadaChileColombiaCosta
RicaCroatiaCuraçaoCzech RepublicDenmarkDominicaDominican RepublicEcuadorEl
SalvadorEstoniaFinlandFranceFrench
GuianaGeorgiaGermanyGreeceGreenlandGuadeloupeGuatemalaGuyanaHondurasHungaryIcelandIndiaIrelandIsraelItalyLatviaLithuaniaLuxembourgMaltaMartiniqueMexicoMoldovaMonacoMontenegroNetherlandsNew
ZealandNorwayPanamaParaguayPeruPolandPortugalPuerto RicoRepublic of
KoreaRomaniaSlovakiaSloveniaSouth GeorgiaSpainSwedenSwitzerlandTaiwanUnited
KingdomUruguayRequired field* Project NameRequired field* Symbol or coin
tickerRequired field* Project WebsiteRequired field* Coinmarketcap / Coingecko
linkRequired field* Are you part of this project's team?Select an
optionYesNoRequired field* ICO launch dateRequired field* Why should we list
this cryptocurrency?Required field I have read and accept the terms and
conditions and the privacy policy. You must accept the conditions

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