INDIVIDUAL ACCOUNT APPLICATION

STANDARD ACCOUNTS
To open a standard account, a minimum margin deposit GBP £5,000 OR its USD/EURO
equivalent is required. Wire transfer, bank check, money order, certified check, or personal
check. Personal checks may take up to ten business days to clear depending on the bank,
state of origin, and amount. Leverage for standard accounts is 200:1

MINI ACCOUNTS
To open a Mini account, a minimum margin deposit of GBP £2,500 OR its USD/EURO
equivalent is required. Wire transfer, bank check, money order, certified check, or personal
check. Personal checks may take up to ten business days to clear depending on the bank,
state of origin, and amount. Leverage for Mini accounts is 200:1

Deposit of Margin Funds

Initial Deposit (submit funds ONLY after the Account Application has been approved)

Interbankps requires 2 forms of identification for each individual listed on the account, one
must be a photo ID.

Acceptable forms of Identification are:

A copy of an unexpired/valid picture drivers license
A copy of an unexpired/valid passport
A copy of a state issued picture ID

Section 1. Customer Information (* = Required Field)

Customer Information and Identification: As a government regulated futures commission
merchant, Interbankps, is required to obtain certain customer information to verify your
identity in accordance with the anti-money laundering procedures required by the USA/UK
Patriots Act and set forth in the regulations promulgated by the National Futures Association.
In order to approve and open your account, please provide complete information in response
to the following application.

* First Name: * Primary Email:

* Re-type Prim.
* Last Name:
Email:
* Day Phone: * Evening Phone:
Mobile Phone: Fax:
* Date Of
* Gender: Male Female
Birth:
* No. of * Country of
Dependants: Citizenship:
* Marital Single Married
Status:
Passport #: Driver's License #:

Physical Street Address (P.O. Box cannot be accepted)

* Address 1:
Address 2: Address 3:
* City: * State/Province:
* Country: * Zip/Postal Code:
 Employment Information
Employment
Status:
* Nature of
* Bus. Name:
Business:
* Bus. Addr. 1: Apt/Suite:
Address 2: Address 3:
* City: * State/Province:
* Country: * Zip/Postal Code:

* Bus. Phone: * Your Position:

Bus. Email: * Years Employed:

CUSTOMER CONTRACT
ALL OF THE ABOVE INFORMATION IS COMPLETE, CORRECT AND PROVIDED TO SPI: INTERBANK
PAYMENT SERVICE FOR THE PURPOSE OF INSTRUCTING SPI: INTERBANK PAYMENT SERVICE TO
TRANSMIT A FUNDS TRANSFER. SPI: INTERBANK PAYMENT SERVICE ACCEPTANCE AND
EXECUTION
OF THE FUNDS TRANSFER IS SUBJECT TO THE TERMS AND CONDITIONS OF INTERNATIONAL
REMITTANCE. MY SIGNATURE BELOW INDICATES THAT I HAVE RECEIVED A COMPLETED COPY OF
THIS FUNDS TRANSFER REQUEST.

Customer Signature: Date: