FORM TO INITIATE BTC PURCHASE ON THE OTC-MARKET

1
Full name of an agent filling out the form
2
Telephone number in international format (+...)
3
E-mail
4
How many BTC do you request?
Тhe minimum deal is $50 000.
5
IM to contact you
6
Target conditions of the transaction (method of payment)
7
Net gross (discount / markup at which the Buyer is ready to buy) *specify + or -
8
Your preferred exchange to determine the price
9
The transaction procedure is fundamentally
10
Any bank(s) where a buyer would prefer to make the deal? (list possible options)
11
Country(s) of the transaction
12
In what form do you have a confirmation of the resource (money) from the Buyer?
13
If there is no confirmation yet, how are you ready to confirm the availability of the resource? (check all possible options)
14
In which country(ies) is the resource located?
15
In which bank(s) is the resource located?
16
How many people are there in the chain of communications after you and up to the person who owns the resource or decides on the choice of the supplier of the transaction (authorized by the Mandate document)?
17
How soon after signing by the two parties between you and OTC-Shark NDA and IMFPA are you ready to provide the contacts of the person who, according to the information you have, is the closest in the chain to the Buyer?
18
In your opinion, how probable is it that the Buyer with whom you are in contact has the declared resource?
I confirm that the information I indicated in the form in paragraphs 1-18 is 100% authentic, because I personally verified it from the storage medium. The source of information is specified in paragraphs 1-4 (source name, contact). I have been informed that by deliberately or inadvertently providing false information in this form I can be put by the person in charge of the transaction on the worldwide blacklist on OTC-market with the mark “time-waster” or “scammer” and clearly realize that distortion of information by me may entail consequences for my business reputation up to the barring from operating in this market.
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