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If you are looking for the services we
provide or would like to find out more about our IB program, please
contact us by filling out the form below. All information is kept
confidential. (filling out this form is a preliminary, there are
several more after this if approved) Thank you!
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| Contact Name: |
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| Address: |
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| City: |
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| State/Province: |
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| Postal Code: |
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| Country: |
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| Phone Number: |
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| E-Mail Address: |
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| IB: |
| IB Name: |
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| Website URL: |
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| Current Clearing Firm: |
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| Form of Organization: |
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| Type of Business: |
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| Number of Brokers: |
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| Do you have a
branch location?: |
YesNo
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| Volume: |
| Avg. H/T Contract
Volume (last 3 months): |
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| Avg. H/T Contract
Volume (last 12 months): |
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| Avg. order size: |
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| Percent of
Contract Volume: |
| Futures: |
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| Options: |
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| Forex: |
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| Chicago: |
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| New York: |
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| Other - Domestic: |
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| Foreign: |
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| Day Trading: |
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| Stock Index
Trading: |
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| Order Desk: |
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| Online Trading: |
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| Account Info: |
| Number of
Accounts: |
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| Avg. # of
Accounts opened on a monthly basis: |
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| Minimum Account
Size: |
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| Total Equity: |
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| Average Equity: |
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| Commission
and Fees: |
| Current Clearing
Rate: |
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| Fees (NFA,
Clearing, Brokerage): |
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| Average Gross
Monthly Commissions: |
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| Futures R.T.: |
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| Options R.T.: |
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| Forex: |
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| Are You Interested In?: |
| Pick a choice: |
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| MISC. |
| Business Hours: |
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| Any comments or
questions? |
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