Global Institutional Client Form

CrossTower Global Institutional Application Form

Thank you for your interest in becoming a CrossTower Customer! If you have any questions, please contact [email protected].
Please DO NOT send any sensitive information via email.

Applicant Information

Company Name: *

Doing Business As (DBA), if any:

Country of Formation: *

Email (for account creation): *

Principal address of your business (must be verifiable): *

Describe your entity's business (please be sure to include industry and specific goods and services your entity provides): *

Company Phone Number: *

Website URL: *

Business purpose for the account at CrossTower: *

Taxpayer Identification Number (TIN): *

Countries that you conduct business in (geographic footprint): *

Are any of the company’s beneficial owner or control person is Politically Exposed Person (PEP)?

The term "Politically Exposed Person" generally includes a current or former senior foreign political figure, their immediate family, and their close associate.

If yes, please confirm the control person and their PEP association: *

Yes

Control Person

Please provide the following information for all individuals with significant responsibility for managing or directing the entity, including, an executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President); or any other individual who regularly performs similar functions.

	Full Name	Title / Role	Company Email	Date of Birth
1 Person
2 Person
3 Person
4 Person

Beneficial Owner

Please provide the following information for all individuals, if any, who, directly or indirectly, through any contract arrangement, understanding,
relationship, or otherwise owns 10% or more of the equity interests of the legal entity.
If no individual meets this definition, check this box.

	Full Name	Title / Role	Company Email	Date of Birth
1 Person
2 Person
3 Person
4 Person

Please confirm the source of your entity's funds for intended CrossTower account deposits (revenue, investment, ICO, other): *

(Please note you may be required to provide documentation verifying the Source of Funds.)

Please provide the following information about your bank account.

Bank Name: *

Account Name: *

Anti-Money Laundering / Anti-Terrorist Financing Program Document: *

Please upload a copy of your AML/ATF Program Document (including KYC/Customer Identification Program and AML Risk Assessment) to the secure upload portal along with this application. If you are not required to maintain an AML/ATF Program, please explain why you are not required to have one.

Not required because

Required

By signing this Application, you represent and warrant:

1. You have received the CrossTower Global’ s Terms of Use from us and read, or have had sufficient opportunity to have read, and agree to the terms and conditions of the Terms of Use.
2. You and your Authorized Users are accurately described in this Application.
3. You have full power and authority to execute, deliver, and perform the obligations under this Application and the Terms of Use.
4. You have consulted or declined to consult with counsel and/or experts of your own selection prior to executing this Application.
5. agree to indemnify, defend, and hold harmless CrossTower Global from any and all claims, actions, causes of action, complaints, demands, liabilities, and obligations (including legal and all other expenses) made against or suffered by CrossTower Global as a result of relying upon this Application; and
6. this Application and the Terms of Use have been duly authorized, executed, and delivered by you and are legal, valid, and binding obligations of you, enforceable in accordance with their terms.

Date:

Signature:*

CrossTower

Institutional Application Document Checklist

Thank you for your interest in becoming a customer of CrossTower! Below is a checklist for all required documents for your application as an institutional customer on the CrossTower trading platform. All documentation must be submitted in English. By submitting your institutional application, you hereby represent and warrant that all documents provided hereunder are true, complete, and accurate copies of the originals, and that there are no material omissions related thereto. If you have any questions, please contact [email protected]. Please do not send documentation through email; we will provide instructions on how you can safely upload your documentation to us.

Formation documents such as Articles of Incorporation or Charters*

Bylaws or equivalent governance documents*

Organizational chart signed by an authorized control person (e.g., a company officer)*

1 month Bank Statement issued in the last 90 days.*

Valid proof of address and government-issued ID (front and back or full biographical page scan)for each control person and beneficial owner. Valid government-issued ID for all authorized persons.*

Proof of revenue (bank account statements, audited financials, tax returns)*

U.S. Internal Revenue Service Appropriate Taxpayer Identification and Certification Form
(e.g., W-9 for U.S.Persons, W-8BEN, W-8BEN-E, W-8ECI, W-8IMY for non-U.S. Persons or Entities)*