Enhanced Customer Identity Verification

Initial account creation at CoinTime Bitcoin ATMs is performed on our machines. Complete this form only if you have been instructed to do so by CoinTime Bitcoin ATMs Support representative.

CoinTime ATM Registration Form

Register now to save time and bypass registration at the Cointime Bitcoin ATM. After verification is complete, you will be able to purchase up to $25,000 per day at any of our Bitcoin ATM locations!

Name

Phone Number

CoinTime ATM Registration Form

Register now to save time and bypass registration at the Cointime Bitcoin ATM. After verification is complete, you will be able to purchase up to $25,000 per day at any of our Bitcoin ATM locations!

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth (DOB)

Tax ID (SSN or EIN)

Take Photo or Upload Photo of ID (Driver License)

The Image should be in .jpg, .jpeg, .png or .pdf format and must not exceed 5MB in size

CoinTime ATM Registration Form

Register now to save time and bypass registration at the Cointime Bitcoin ATM. After verification is complete, you will be able to purchase up to $25,000 per day at any of our Bitcoin ATM locations!

Are you a US citizen, Non-Resident Alien, or Foreign National?

Are you, or anyone in your immediate family, a senior foreign political figure, either in a foreign country or the US. If so, please explain.

Source of Funds / Occupation

Are you involved in any of the following Industries?

Reason for Buying / Selling Bitcoin

Optional: Supporting Documents Upload

Enhanced Customer Identity Verification

CoinTime ATM Registration Form

CoinTime ATM Registration Form

CoinTime ATM Registration Form

Find Your Nearest Cointime Bitcoin ATM

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