Investor Qualification Page

INVESTOR QUALIFICATION FORM

PLEASE COMPLETE THIS FORM IN ORDER TO REGISTER AS A QUALIFIED INVESTOR FOR ATOMIC.

If you already have an account with Atomic, please login before proceeding with the qualification form.

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INVESTOR INFORMATION
Country of Residence*
- United States
- International
Address*
Street Address Address Line 2 City State ZIP Code

*Unfortunately at this time, the sale of Securities is not available to residents of the following States: New York, Florida, Texas, Arizona and North Dakota. If you have any questions, you may call us at 800-565-1933 x 800 or email info@atomic.video *
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Date of Birth*
SSN*
Why do you need my SSN? To comply with the law, we must verify your identify. SSN's are also used to prepare tax filings. We protect your SSN like our life depends on it. Since it does.
Driver's LIcense Number*
Passport Number*
Short Bio

How much am I allowed to invest?
Due to SEC regulations, it depends. Here's the gist:
What is your net worth? (Not Including your home)
What is your annual income?
Your Maximum Investment Based on Net Worth:
*Non-accredited investors may legally invest no more than 10% of their income or net worth, whichever is greater. Accredited investors (those earning $200k+ or with a networth over $1m) have no investing limit.*
Your Maximum Investment Based on Annual Income:
*Non-accredited investors may legally invest no more than 10% of their income or net worth, whichever is greater. Accredited investors (those earning $200k+ or with a net worth over $1m) have no investing limit.*
*IF BOTH YOUR INCOME AND NET WORTH ARE BELOW $22,000, YOU MAY STILL INVEST A MAXIMUM OF $2,200.*

Atomic is different than the stock market...
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- I understand that startups and small businesses are very risky. I can afford 100% loss of all investment I make with Atomic.
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- I understand that securities with Atomic are not easily resold. There is no secondary market. I can wait years for return.
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- I understand that Atomic does not offer investment advice. I have the sophistication to evaluate investments on my own.
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- I understand that Atomic does not offer investment advice. I have the sophistication to evaluate investments on my own.
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- I acknowledge that the entry of my name in the field below represents an e-signature. I acknowledge that I have reviewed and understand the educational materials and that this investment is at risk and may be lost. I confirm that this purchase price is not more than the greater of 10% of my annual income or net worth (or no more than the greater of 10% of revenue or net assets for a business), unless I am an accredited investor.
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- I have read and agree to the terms set in the Subscription Agreement. I have read and agree to the Site's electronic delivery notice, educational materials, risks, and compensation disclosure. I would like to receive the Atomic Studios newsletter and investment opportunities that are relevant to my interests.
  Download the Subscription Agreement here.