If you are human, leave this field blank.Cryptocurrency - Purchase OrderNameBusiness Name *Email *Last 4 Digits of Account Number *Cryptocurrency Type *Bitcoin (BTC)EthereumUSDTType of cryptocurrency purchasingLimit Orders *Amount in USDAmount in CryptocurrencyAmount in USDAmount of USD used to purchase cryptocurrency (Example: Use $33,000usd to purchase 1 Bitcoin) Amount in CryptocurrencyAmount of cryptocurrency to purchase (Example: buy 1 bitcoin = $33,000usd)Buy PriceSpot PriceCryptocurrency Wallet Address DisclosuresYou are placing an order to buy cryptocurrency. The amount purchased may vary due to market volatility. Once executed the transaction may not be undone. Cryptocurrencies offered by NRB are not securities and are not FDIC or SIPC insured. New River Bank LTD, and it’s subsidiaries, are not responsible for any loss to the buyer or seller associated with the purchase or sell of cryptocurrencies. Instructions1. Complete Crypto Purchase Order Form.* 2. After order received Digital Currency will be placed in your Portfolio. ** 3. Make payment for order by transferring (Internal Transfer) Invoiced amount to NRB Digital Currency Account. 4. Digital Currency will be downloaded to your requested wallet. * Member must have Minimum required balance on account prior to placing order* **Member must have minimum balance on account with NRB to cover order prior to Digital Currency being placed in members portfolio ** *I understand and agree to the disclosuresSecurity Key *Authentication Submit