Ultrafair Application Form

Product Offering

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Which product offering are you interested in?

Fantasy as a service

Custody as a service

All of the above

Details of Company

Use n/a if the question is not applicable

Company Registered Name

Company Registration Number

Trading Name

Company Registered Address

Describe your business activities

Are your web page and services fully launched and operating?

Yes

If no, please indicate the date when the web page and services will go live

Please provide your web address

Please provide all jurisdictions your company operates in

Detailed list of products and or services.

Please outline the details of any information security measures implemented in the company.

Details of Person Completing Form

Full Name

Title/ Position

Email

Phone Number (including country dialling code)

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Ultrafair Application Form

Product Offering

Which product offering are you interested in?

Details of Company

Details of Person Completing Form

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