service order form - bcn-consulting.net · opened with bc bitcoin we need a clearly legible copy...

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Tel. +1-646-47 522 44 Fax. +1-646-30 413 84 Email: [email protected] Internet: www.bcn-consulting.net BCN Consulting LLC Sales Office New York Wallstreet 14 - NY 10005 BCN Consulting LLC is hereby instructed by the Customer to open the following accounts in his/her name. This service is completely free of charge to the Customer. I wish to: (Please tick the relevant boxes) Customer: (please complete the following fields in full) First name: Surname: Date of birth: Street: ________________________________ ________________________________ ________________________________ ________________________________ SERVICE ORDER FORM ZIP: Town: Mobil: Email: ________________________________ ________________________________ ________________________________ ________________________________ Our service is completely free of charge to the Customer. After the accounts are set up, all access details will be passed to the Customer for the purpose of using and changing the password, so that BCN Consulting LLC no longer have access to any private information and accounts. This instruction only includes the opening of the necessary accounts. No payments will be accepted by BCN Consulting LLC. In particular, no promises are made in relation to profit and advice is not provided in relation to all possible risks. No liability is accepted, nor is any responsibility for a commercial association between the individual user and the companies listed. Our standard terms and conditions of business apply. It can be reached best ………please provide an approximate time……it is possible to tick more than one box Moday Tuesday Wednesday Thursday Friday ________________________ Town, Date ________________________ Signature Mornings 10.00 bis 13.00 Afternoon 14.00 bis 18.00 Evenings until 21.00 at the latest ____________________________________________________________________________________ Please send the instruction to perform services and the requisite copies by email to [email protected] ________________________________ Desired Username: open a free account with Jubilee Ace (www.jubileeace.com). open a free account with BC Bitcoin (www.bcbitcoin.co.uk). KYC requiered , see below. I wish to buy my Bitcoins with PRIME FREEDOM PROPERTIES SL [getting an invoice]. ID copy required. Your contact :_________________________ Internal number :_________________________ _____________________________________________________________________________________ Copies of the following are only necessary in the event that and account is opened with BC Bitcoin We need a clearly legible copy (preferably a PDF document or mobile telephone photograph) of your: 1. Identity card (passport, personal ID card or driving licence) 2. Proof of address (mobile telephone, electricity, water etc. bill) 3. A photograph with the words I have read and agree to the BC Bitcoin KYC Contract”

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Page 1: SERVICE ORDER FORM - bcn-consulting.net · opened with BC Bitcoin We need a clearly legible copy (preferably a PDF document or mobile telephone photograph) of your: 1.Identity card

Tel. +1-646-47 522 44 Fax. +1-646-30 413 84

Email: [email protected] Internet: www.bcn-consulting.net

BCN Consulting LLCSales Office New YorkWallstreet 14 - NY 10005

BCN Consulting LLC is hereby instructed by the Customer to open the following accounts in his/her name. This service is completely free of charge to the Customer.

I wish to: (Please tick the relevant boxes)

Customer: (please complete the following fields in full)

First name:

Surname:

Date of birth:

Street:

________________________________

________________________________

________________________________

________________________________

SERVICE ORDER FORM

ZIP:

Town:

Mobil:

Email:

________________________________

________________________________

________________________________

________________________________

Our service is completely free of charge to the Customer. After the accounts are set up, all access details will be passed to the Customer for the purpose of using and changing the password, so that BCN Consulting LLC no longer have access to any private information and accounts. This instruction only includes the opening of the necessary accounts. No payments will be accepted by BCN Consulting LLC. In particular, no promises are made in relation to profit and advice is not provided in relation to all possible risks. No liability is accepted, nor is any responsibility for a commercial association between the individual user and the companies listed. Our standard terms and conditions of business apply.

It can be reached best ………please provide an approximate time……it is possible to tick more than one box

Moday

Tuesday

Wednesday

Thursday

Friday

________________________ Town, Date

________________________ Signature

Mornings 10.00 bis 13.00

Afternoon 14.00 bis 18.00

Evenings until 21.00 at the latest ____________________________________________________________________________________

Please send the instruction to perform services and the requisite copies by email to [email protected]

________________________________DesiredUsername:

open a free account with Jubilee Ace (www.jubileeace.com).

open a free account with BC Bitcoin (www.bcbitcoin.co.uk). KYC requiered , see below.

I wish to buy my Bitcoins with PRIME FREEDOM PROPERTIES SL [getting an invoice]. ID copy required.

Your contact :_________________________

Internal number :_________________________

_____________________________________________________________________________________

Copies of the following are only necessary in the event that and account is opened with BC BitcoinWe need a clearly legible copy (preferably a PDF document or mobile telephone photograph) of your:1. Identity card (passport, personal ID card or driving licence)2. Proof of address (mobile telephone, electricity, water etc. bill)3. A photograph with the words “I have read and agree to the BC Bitcoin KYC Contract”