Name

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Required Documents *

Upon completion of this form, you will be emailed a dropbox link to submit the required documents. Check each of the boxes to confirm

Copy of Driver's License

Proof of Address

Bank Statement

Copy of Last Paystub

Source of Funds Verification *

I certify that the funds to be invested come from lawful activities, and their exercise within the legal framework.

I certify that my activity for obtaining funds is lawful, and its exercise by me has occurred within the legal framework.

I declare that I am not involved in illegal activities, and that the funds to be invested do not come from illicit sources or the commission of criminal behavior.

I certify that the funds are not intended for any form of money laundering, terrorist financing or any other related or illegal activity.

I declare that I will not allow third parties to use my investment or any other type of information or facility related to the business, to perform or collaborate with illegal activities or the commission of criminal behavior.

Certifications *

I certify that the information provided above is true, corresponds to reality and has not been manipulated or modified by me or by third parties.

I know and accept the Terms and Conditions and the Privacy Policy

I acknowledge that the omission, error or total or partial fraud with respect to the information provided could lead to my own liability towards the company, without detriment to other criminal, civil or administrative actions that may be initiated against me in any jurisdiction.