SNSCO

Are you trading for:

Please Select ... Yourself Company Other Fund Trust

What is your Nationality?:

What country do you reside in?:

What products do you wish to trade?:

Shares CFDs Futures and Options Forex ETFs Other Equity Options Spread Trading

What is your appetite to risk?:

Please Select ... High Medium Low

Countries (platforms) you wish to trade on:

How would you like to execute trades:

Please Select ... Platform Voice Brokerage

Do you consider yourself a professional:

Please Select ... Yes No

Your initial investment to open account:

How many trades on average per month?:

Please Select ... <100 100 - 500 500 - 1000 1000 - 5000 5000+

What is the volume of your average trade:

Would you like a broker to call you?:

Please Select ... No Yes

First Name:

Last Name:

Phone:

Email:

Convenient time for a broker to call you:

Please Select ... Morning 9:00hrs - 12:00hrs CET Midday 12:00hrs - 14:00hrs CET Afternoon 14:00hrs - 18:00hrs CET Evening 18:00hrs - 22:00hrs CET