Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Consultation

Portfolio Management

Trading Strategies

Blockchain Technology

Smart Contracts

Regulatory Compliance

What is your level of experience with cryptocurrency?

What is your primary goal with cryptocurrency?

Please select at least one option.

Investment

Trading

Education

Technology Integration

What specific challenges are you facing in the crypto space?

How did you hear about us?

What is your budget for crypto services?

What is your preferred method of communication?

Please select at least one option.

Email

Phone

Video Call

In-Person Meeting

Please provide your location.

Additional questions or comments

Baleno Bay Sàrl