registration – Merrion Stock Brokers

Username *

User Password *

User Email *

Confirm Password *

Type of Account Individual Account Joint Account Business Account

Type of Account Partnership Trust Pension Plan / IRA

Account Title

First Name *

Middle Name

Last Name *

Title

Citizenship *

Address Line 1

Address Line 2

City

State

Phone

Country *

Postal / Zip Code

Date of Birth

Joint Account Only I Wish To Add A Second Co-Authorized Person

First Name

Middle Name

Last Name

Title

Citizenship

Address Line 1

Address Line 2

City

State

Postal / Zip Code

Country

Phone

Date of Birth

Business Account Only I Wish To Make This A Business Account

Official Name

Tax ID Number

Registered Address Line 1

Registered Address Line 2

City

State

Postal / Zip Code

Country

Industry In Which The Business Operates

Business Type

Website

Phone

Investment Experience Good Limited None

Have you ever declared bankruptcy? Yes No

If your objective is to produce income, do you understand that there is a risk of loss in trading? Yes No

Are you an officer of a public company, senior political figure, or policy making officer? Yes No

Are you now or were you ever a NFA, NASD, CFTC or SEC membern Yes No

Agreement The undersigned agree(s) that all controversies, which may arise between us, including but not limited to those involving any transactions or the construction, performance or breach of this or any other agreement between us, whether entered into prior, on or subsequent to the date hereof, shall be determined by arbitration. Any arbitration under this agreement shall be conducted before arbitration facilities provided by any exchange or the National Association of Securities Dealers Inc. The undersigned may elect in the first instance the arbitration forum, but if the undersigned fails to make such an election by registered letter or telegram addressed to Preferred at the office where the customer maintains their account(s), before the expiration of five (5) days after receipt of a written request from Preferred to make such election, then Preferred may make such election. Judgment upon the award of arbitrators may be entered in any court, state or federal, having jurisdiction. No person shall bring a (punitive) or certified class action to arbitration, nor seek to enforce any predispute arbitration agreement against any person who has initiated in court a punitive class action; or who is a member of a punitive class action who has not opted out of the class with respect to any claims encompassed by the punitive class action until: (i) the class certification is denied; or (ii) the class is decertified; or (iii) the customer is excluded from the class by the court. Such forbearance to enforce an agreement to arbitrate shall not constitute a waiver of any rights under this agreement except to the extent stated herein. I hereby request that the company open a brokerage account in the name(s) listed as account applicant on this customer New Account application Form. I agree to read and be bound by the terms of the Account Agreement, and any other written agreements between this company and myself that apply to my brokerage account, as currently in effect and as amended from time to time. If, in the future, I add features to this account governed by the foregoing agreements I agree to be bound by their terms and conditions. If I do not receive or understand the Account Agreement, I will notify personnel. * * I Agree