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About
Media
Select Issuers
Fractional Issuers
Raise Capital
About
Media
Menu
About
Media
Select Issuers
Fractional Issuers
Raise Capital
Apply For DalmoreDirect
First Name
*
Last Name
*
Title
Email Address
*
Phone
*
Company Legal Name
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State of Incorporation
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Type of Company
*
Website
*
Country
*
Business Address 1
*
Business City
*
Business State
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ZIP Code
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Are you affiliated with any other business entity? For example, do the controlling owners also control other companies?
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Yes
No
Name of affiliated entities & details
*
Have you ever merged with, or been merged into another company? Give full name of the non-surviving company that was merged.
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Yes
No
Name of non-surviving entity
*
Is the company a common subsidiary of another entity?
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Yes
No
Name of parent entity
*
Does the company have any subsidiaries?
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Yes
No
Name(s) of subsidiaries
*
Has the company ever been through bankruptcy?
*
Yes
No
Please select all relevant offering types you wish to pursue
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Reg A+
Reg CF
Reg D
Other
How much do you intend to raise in your offering?
*
USD
Will this offering be done concurrently with any other capital raising (such as an offering to accredited investors)?
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Yes
No
Does the concurrent capital raising include terms or pricing that differs from the current offering? If yes, please explain
*
What type of securities are you offering?
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Please Select
Common Stock
Debt
SAFE
Convertible Note
Preferred Stock
Membership Units
Others (please specify)
Other type of securities offered
*
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privacy policy.
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