account opening form

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Please read this agreement carefully, you should accept by ticking the option below this agreement before opening an FXOptimax account.



I have read the agreement and I agree to the terms and conditions therein.
IMPORTANT NOTES:
  • Please fill this form in Latin characters, all field with [*] marks must be filled.
  • Please check your email's spam/bulk folder if you do not see our emails in your inbox after registering. We advise you to whitelist admin@fxoptimax.com to prevent this from happening again and ensure you receive our emails in the future.
  • You can hover each textbox for detailed instructions if you are unsure about the values to be put in it.
  • Should you need our assistance, please take advantage to our Live Chat support or you can write us at admin@fxoptimax.com
Personal Details
full name:*
date of birth: *
gender: *
marital status: *
nationality: *
phone number: *
email address: *
Please do not use Yahoo Mail if possible.
Passport / ID number: *


Security Details
password: *
Minimum 8 characters
phone password: *
security question 1: *
answer 1: *
security question 2: *
answer 2: *
security question 3: *
answer 3: *

Account Details
account type: *
See here for account type information
leverage: *
Address Details
address: *
city: *
state:
zip code:
country: *

Trading Details
trading experience: *
previous broker:
initial deposit:
money source: *

Additional Details
promotional code:
referring agent code:

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