Service Activation Agreement
1. User Information
Account Type:
[ ] Individual
[ ] Institutional
Full Name (for Individual) or Entity Name (for Institutional):
______________________________________________
Date of Birth (for Individual) or Incorporation Date (for Institutional):
__________________________
Country of Citizenship (Individual) or Country of Incorporation (Institutional):
______________________________________________
Contact Information:
Email Address:
_________________________________________
Phone Number (include country code):
__________________________
Mailing Address:
Address Line 1:
_________________________________________
Address Line 2 (if applicable):
_________________________________________
City/Town:
_________________________________________
State/Province:
_________________________________________
Country:
_________________________________________
Postal Code:
_________________________________________
2. Account Preferences
Service Plan:
[ ] Basic
[ ] Advanced
[ ] Institutional
[ ] Other (specify): _______________________________
Preferred Payment Method:
[ ] Credit/Debit Card
[ ] Cryptocurrency (specify): ______________________
[ ] Bank Transfer
Preferred Billing Frequency:
[ ] Monthly
[ ] Quarterly
[ ] Annually
Additional Features (check if applicable):
[ ] API Access
[ ] Multi-User Collaboration
[ ] Historical Data Archives
3. KYC and Compliance Information
(Required for compliance with Anti-Money Laundering (AML) and Know Your Customer (KYC) regulations)
Identity Verification (Individual):
Government-Issued ID Type (e.g., Passport, Driver’s License):
__________________________
ID Number:
__________________________
Issuing Country:
__________________________
Upload Copy of ID:
[ ] Uploaded
Business Verification (Institutional):
Registration Number:
__________________________
Tax Identification Number (TIN):
__________________________
Incorporation Certificate Upload:
[ ] Uploaded
4. Security Settings
Two-Factor Authentication (2FA):
[ ] Enabled
[ ] Not Enabled (I understand this may limit account security)
Account Recovery Options:
[ ] Email-Based Recovery
[ ] Security Questions
[ ] Phone-Based Recovery
Primary Account Administrator (for Institutional Accounts):
Full Name:
_________________________________________
Email Address:
_________________________________________
Phone Number:
__________________________
5. Terms and Conditions Acknowledgment
By signing below, I confirm that I have read, understood, and agree to:
The Terms of Service governing the use of Satoshi Terminal software services.
The Privacy Policy regarding the collection and use of personal and transactional data.
The Risk Acknowledgment related to cryptocurrency trading, data analytics, and software features.
6. Authorization and Signatures
"I, _________________________________________ (Full Legal Name), certify that the information provided in this form is accurate and complete to the best of my knowledge. I agree to abide by all terms and conditions outlined by Satoshi Terminal."
Subscriber Signature:
______________________________________________
Date (MM/DD/YYYY):
______________________________________________
Institutional Representative Signature (if applicable):
______________________________________________
Date (MM/DD/YYYY):
______________________________________________
7. Internal Use Only (For Satoshi Terminal Staff)
Form Received By (Name and Employee ID):
______________________________________________
Date/Time of Submission:
______________________________________________
KYC/AML Verification Status:
[ ] Verified
[ ] Pending
[ ] Rejected
Approval Status:
[ ] Approved
[ ] Rejected
[ ] Requires Additional Documentation
Comments/Notes:
______________________________________________
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