ACCOUNT SETUP

Since this is your first investment through Banq, you will need to setup your account at TriPoint Global Securities, LLC. Please complete the following form.

1. Please select the type of account you wish to open

   type_id, (@$account_setup->account_type == $type->type_id) ? true : false); ?> type_name; ?>

2. Applicant Details

   'input-firstname', 'placeholder' => 'First Name', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-lastname', 'placeholder' => 'Last Name', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-s2num', 'placeholder' => 'Social Security Number', 'required' => 'true', 'class' => 'form-control')); ?>

3. Contact Information

   'input-street', 'placeholder' => 'Street Address', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-city', 'placeholder' => 'City', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-country', 'placeholder' => 'Country', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-state', 'placeholder' => 'State', 'required' => 'true', 'class' => 'form-control')); ?> 'input-zip', 'placeholder' => 'Zip code', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-phone', 'placeholder' => 'Telephone Number', 'required' => 'true', 'class' => 'form-control')); ?>

4. Government Issued I.D.

   'input-type_of_ID', 'placeholder' => 'Type of I.D.', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-place_of_issuance', 'placeholder' => 'Place of Issuance', 'required' => 'true', 'class' => 'form-control')); ?>
   'input-identification_num', 'placeholder' => 'Identification Number', 'required' => 'true', 'class' => 'form-control')); ?>

5. Are You A Broker Dealer?

   is_broker_dealer == '1') ? true : false); ?> Yes

   is_broker_dealer == '0') ? true : false); ?> No