New Account Application – Trident Advisors

Thanks for applying for an account with Trident Advisors. Please complete the form below as completely as possible. A printable fax form is also available. Please contact us if you have any questions. We look forward to reviewing your investment goals in the coming days.

Step 1 of 6

Primary Account Owner:
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Social Security #*
Date of Birth*
MM slash DD slash YYYY
Occupation*
Employer*
Years at Employer
Please enter a number from 0 to 75.
Annual Income*
Estimated Net Worth*
Primary Phone*
Email*
Marital Status*
Number of Dependants*
Please enter a number from 0 to 10.
Driver's License or State ID Card
Identification Card
Accepted file types: jpg, png, pdf, tiff, docx, doc, Max. file size: 25 MB.
Federal regulations require that we verify your identity. Please upload a copy of your Driver’s License, Passport or State Issued ID Card or fax it to us at 215-489-5396.
License Or ID Number*
State Issued*
State
Expiration Date*
MM slash DD slash YYYY

Joint Account Owner (if applicable):
Joint Name
First Last
Joint Address
Street Address Address Line 2 City State ZIP Code
Joint Social Security #
Joint Date of Birth
MM slash DD slash YYYY
Joint Occupation
Joint Employer
Join Years at Employer
Joint Annual Income
Joint Phone
Joint Email

Source of Funds*
Time Horizon*
Investment Objective*
Risk Tolerance*

Primary Beneficiary Information
Primary Name 1
First Last
Primary Percent of Benefits 1
Please enter a number from 0 to 100.
Primary Relationship 1
Primary Social Security # 1
Primary Date of Birth 1
MM slash DD slash YYYY
Primary Name 2
First Last
Primary % of Benefits 2
Please enter a number from 0 to 100.
Primary Relationship 2
Primary Social Security # 2
Primary Date of Birth 2
MM slash DD slash YYYY
Primary Name 3
First Last
Primary % of Benefits 3
Please enter a number from 0 to 100.
Primary Relationship 3
Primary Social Security # 3
Primary Date of Birth 3
MM slash DD slash YYYY

Contingent Beneficiary
Contingent Name 1
First Last
Contingent % of Benefits 1
Please enter a number from 0 to 100.
Contingent Relationship 1
Contingent Social Security # 1
Contingent Date of Birth 1
MM slash DD slash YYYY
Contingent Name 2
First Last
Contingent % of Benefits 2
Please enter a number from 0 to 100.
Contingent Social Security # 2
Contingent Date of Birth 2
MM slash DD slash YYYY
Contingent Name 3
First Last
Contingent % of Benefits 3
Please enter a number from 0 to 100.
Contingent Relationship 3
Contingent Social Security # 3
Contingent Date of Birth 3
MM slash DD slash YYYY

Due Diligence Information
Are account owner(s) or a member of their immediate family a director, policy-making officer or 10% stockholder in any publicly traded company?*
- Yes
- No
Are account owner(s) or a member of their immediate family associated with FINRA, the SEC or the State Securities Commission?*
- Yes
- No
Trusted Contact Information

The Trusted Contact provides an additional layer of account security for our clients. We would only contact your Trusted Contact if we’re unable to reach you and have concerns pertaining to your account. The Trusted Contact must be 18 years old.
Decline Trusted Contact
I decline to provide trusted contact information.
Trusted Contact Name
First Last
Trusted Contact Address
Street Address Address Line 2 City State ZIP Code
Trusted Contact Relationship
Trusted Contact Phone
Trusted Contact Email

Step 1 of 6

Primary Account Owner:

Driver's License or State ID Card

Joint Account Owner (if applicable):

Primary Beneficiary Information

Contingent Beneficiary

Due Diligence Information

Trusted Contact Information