Sales Gen TestFull Name First Last Phone NumberEmail Address Types Of Account(s)Select all that apply with approximate investment amountTypes Of Account 1-- Select One --Direct PurchaseRetirement Account PurchaseLLC IRA PurchaseDirect Purchase Number Form 1Retirement Account Purchase Number Form 1LLC IRA Purchase Number Form 1Add1 Add Another AccountTypes Of Account 2-- Select One --Direct PurchaseRetirement Account PurchaseLLC IRA PurchaseDirect Purchase Number Form 2Retirement Account Purchase Number Form 2LLC IRA Purchase Number Form 2Add2 Add Another AccountTypes Of Account 3-- Select One --Direct PurchaseRetirement Account PurchaseLLC IRA PurchaseDirect Purchase Number Form 3Retirement Account Purchase Number Form 3LLC IRA Purchase Number Form 3Add3 Add Another AccountTypes Of Account 4-- Select One --Direct PurchaseRetirement Account PurchaseLLC IRA PurchaseDirect Purchase Number Form 4Retirement Account Purchase Number Form 4LLC IRA Purchase Number Form 4Wiring Instructions To start investing immediately, please send your funds to:Company: Crypto Diamonds and Metals Exchange LLC,Company Address: 1880 Wilshire Blvd # 1101, Los Angeles, CA 90024Bank: Wells Fargo Bank, N.A.Bank Account Number: 2364408464Routing Number for Wires: 121000248Bank Relationship Manager: Kevin Karatas, 818-7468510Bank Address: 21108 Ventura Blvd. Woodland Hills, CA, 91364Important Notes:Please include your first and last name, driver license number and delivery address as notes to the wire. Once funds clear, A portfolio manager will call you directly to confirm your transaction on a tape recorded line.Please complete your account Agreement by clicking hereFor international wires please call 1-844-378-8611Section BreakSelect Type of Investment(s):You may select more than oneCryptocurrencyNumerous coins supported. Please call for a full list of offerings Bitcoin Ethereum Ripple Litecoin Bitcoin Cash Ether Classic ZCash Digital Gold Stellar LumensSection BreakTotal PercentageTypes of investments must add up to 100%Total % CALC HIDDENTotal %PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
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