Invest Now - CBC Securities

INVEST ON ABC Technology

Round of Fund Raising: A

Total Shares: 1,000,000

Price per Share: $15

Shares Available: 200,000

Post Valuation: $14,999,998

Pre Valuation: $10,000,000

Step 1 of 5

How much would you invest (USD) ?
Please enter a number greater than or equal to 0.
If the USD amount that you enter is not divided evenly by the price per share, your investment amount will be rounded up to the nearest share

Personal Information
Name
First Last
Date of birth
Date Format: MM slash DD slash YYYY

Address
Street Address Address Line 2 City State ZIP Code

Phone
US Citizenship
- I am a US Citizen or US Legal Resident
- I am not a US Citizen or US Legal Resident

Payment
Payment Type
Card Info.
Name on the Card
Need to exact match
Card Number
Card Expiration Date
Security Code
- Use my personal address as the billing address
ACH Info.
Name on the Account
Nine Digits Bank Routing Number
Bank Account Number
Account Type
- Saving
- Checking
Check Type
- Personal
- Business
IMPORTANT: Please read before completing, signing and submitting.

Direct Payment via ACH is a transfer of funds from (or to) a bank account for the purposes of making a payment.

I (we) hereby authorize Concordia Boston Capital, LLC ("CBC"), to electronically initiate credit and debit entries to my (our) account at the financial institution listed below (hereinafter “Bank”), and, if necessary, initiate adjustments for any transactions credited/debited in error.

This authority authorizes CBC to credit my (our) account to correct errors and with payments, refunds, reimbursements, and other funds, and to debit my (our) account for exact amount of investments I make, and will remain in effect until such time that CBC is notified by me (us) in writing to cancel it, with such notice provided at least 3 business days in advance, delivered via overnight courier to CBC Securities, LLC, attention Financial Operations Principal, at 3455 Peachtree Road NE, 5th Floor, Atlanta, GA 30326. I agree that the ACH transactions I (we) authorize comply with all applicable law.
ACH Authorization Signature