VIP customer enrollment 

To comply with all applicable federal and state laws anti-money laundering laws, and prevent fraudulent use of our services we require all customers be verified prior to using our services.

This form should be completed by anyone wishing to purchase or sell bitcoin in an amount greater than our bitcoin ATMs allow ($4000/day). Please take a moment to get verified now and you'll be buying and selling bitcoin in no time! 

Your privacy is very important to us. Our use of any information you provide is governed by our Privacy Policy.

Name *
Name
Home Address *
Home Address
Phone *
Phone
Date of Birth *
Date of Birth
Second form of ID *
Please select which second form of ID you'll provide.
Please be specific.