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Services  Partners Form


   
For additional information on Introducing arrangements
please complete This Contact Form:
 

 

 
First Name :
   
Last Name :
   
Name Of Business :
   
City/Region :
   
State/Province :
   
Country :
   
Phone Number :
   
E-mail :
   
Website URL :
   
Subject :

Briefly describe your business (i.e. Introducing broker, Introducing Agent; money manager, advisory service, white Label etc.)
   
Years in Business :
   
Number of existing customer accounts :
   
Amount of customer margin
(in USD) :
   
What region or country will
you be targeting ?
   
Are you a registered entity
in the U.S. ?

If so, please describe

 

 

  
If outside the U.S., are you registered with a foreign governing body ?
   
Have any formal complaints been filed against you or
your company ?
   
Are you currently an IB with
any other broker or FCM ?
 
Proposed commission structure :
 
  Customer Charged Rebate to IB
     
     Futures and Options
   
     Foreign Exchange
 
Estimated volume of business that you plan to execute or introduce :
 
Lots per month : Nominal value (FX/off exchange only)
   
   
What are the major instruments to be traded ?
   
   
Please provide any additional information that you deem relevant :
   
Security Code:    
 
 

* All Fields are Required 		 
   
 
   
   
 

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