This document is a registration form for a gold savings plan that collects customer information such as name, address, ID, payment details, and refers sponsor information. It allows customers to set up automatic monthly gold purchases through a credit card and create an online account with a username and password. By signing, the customer authorizes the activation of their monthly gold savings plan.

1. REGISTRATION FORM
CUSTOMER INFORMATION
Name:
Date of birth: Proof of ID: Proof of residence:
Residential Address:
City: State: ZIP Code:
Country: Phone: Email:
PAYMENT INFORMATION
Card Number: Expiration Date: _____/_______/______
Billing Address: City:
State: Zip Code: Card Type:
CVV2 (Back of Card) : Monthly Gold Purchase Amount:
ONLINE CUSTOMER ACCESS
Name: Username: option 1
Username: option 2 Password: Email:
REFERRALS
Name Address Phone
KARATBARS SPONSOR INFORMATION
Name: Karatbars ID:
Phone: Email:
SIGNATURE
I authorize the activation of my Karatbars Automatic Monthly Gold Savings Plan. I have received a copy of this application.
Signature of applicant: Date:
“In the absence of GOLD there is no way to protect your savings from confiscation through inflation”
- Alan Greenspan