Business Intake Form

Referred By (Our Company Rep Name and Code)

We maintain all referrers who are signed up and a code is provided with them by us. If Code is not provided type full name of Referrer.

Full Name*

First NameLast Name

Mobile Number*

Country CodeArea CodePhone Number

Your Email Address*

example@example.com

ID Number (SSN, Passport: ID, Expiration, Drivers License: ID, Expiration)*

Mandatory for KYC and verification

Website or Social Address

Business Name

Business Main Telephone Number

Country CodeArea CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Type*

Business Licenses , TAX ID, Certifications*

Describe your business?

What Cash or Bank Instruments do you need or provide?*

What Commodities do you need or provide?

How far is your business reach?

0-25 Mile Radius100-700 Mile Radius36-100 Mle RadiusOver a 700Mile Radius

What Decentralize Finance Instrument (Crypto) you need or provide?

Pick One Only

How many employees do you have?*

0-34-25More than 25

What stage are you in your business?

What is your unique market niche, USP or why do people typically choose you over their other options?

Have you ever surveyed or looked at feedback on how clients/potential clients view interacting with your business online?

YesNo

What Web features do you provide to visitors?

How do people find your website?

How do you want people to connect with you?

How quickly do you respond?

How do you keep your client up to date about confirmations, arrival time?

Are you, customers and employees always on the same page about work/order/project status?

YesNo

How are you invoicing?

What forms of payment do you accept?

Do people ask for other options to pay you?

How do you do your Due Diligence, Client Verification, Fund Verification

Is your Request URGENT

Within 1 weekWithin 1 MonthOver 1 MonthOther -beyond a month

Name of Signatory*

Signature*

Title of Signatory*

Date of Signature*

Date

LEGAL DISCLAIMER AND CONSENT

By signing this form, you hereby provide your explicit consent to SWACOFF Investments to collect, process, and store the personal information provided herein for the following legitimate business purposes:

General Business Operations: inclusion in our company database, internal record-keeping, client relationship management, operational efficiency, business strategy development, service improvement, communication related to our offerings, and general administrative tasks.

Due Diligence: conducting necessary due diligence for potential business ventures, partnerships, investments, client onboarding, compliance with legal and regulatory obligations, risk assessment, and verification of provided information.

Commissions and Referrals: tracking, processing, and disbursing commissions for successful transactions or referrals, maintaining records of referral sources, and communicating regarding commission-related matters.

Future Business Opportunities: informing you about potential future business ventures, investment opportunities, collaborations, new services, and relevant industry developments that we believe may be of interest to you.

Banking and Financial Activities: facilitating financial transactions related to our business dealings, processing payments, managing accounts, complying with banking regulations, and communicating regarding financial matters relevant to our interactions.

NCNDA Acknowledgement: You agree to non-circumvention and non-disclosure regarding business opportunities, information, or introductions from SWACOFF Investments, as further described herein.

Trade and Transactional Activities: supporting trade-related activities, facilitating the exchange of goods or services (if applicable to our business model), managing contractual obligations, and ensuring compliance with trade regulations.

We keep your information internal to SWACOFF Investments and treat it with the utmost confidentiality. We are committed to protecting your personal information in accordance with applicable data privacy laws and our internal security protocols.

For any inquiries regarding our data handling practices or to request further information, please contact us at support@swacoffinvestments.com.

By signing, you affirm that you have read, understood, and agree to the terms of this expanded disclaimer and consent.