New Exchange Registration Form

Details of Exchange Group

Full title of exchange:

(e.g. New Town Community Exchange)

Short name for exchange:

(e.g. New Town) - this gets used in menus

Four letter code for exchange:

(e.g. NTCE) - exchange ID; account number prefix

Currency name:

(e.g. Green Dollar, Talent)

Currency symbol:

(e.g. G$, T)

Web site of exchange:

(if any)

Administrator's Details

First name:

Tel (home):

Surname:

Tel (work):

Address:

Fax:

Address (cont.):

Mobile:

City/Town/Area:

Email:

County/Province/State etc:

Postcode/Zip:

Country:

Motivation:

If this is a new exchange please tell us about your vision for it; if it is an existing exchange tell us something about it.

Additional detail can be provided after your new exchange has been set up. You will be able to submit your logo and modify default text to customise your site.