Common use of NASD AFFILIATION Clause in Contracts

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:: __________________________________________________ __________________________________________________ __________________________________________________ Your relationship to such member firm or person: __________________________________________________ __________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:: ___________ ______________________________________________________________ ______________________________________________________________ Your relationship to such member firm or person: _____________ ______________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : ----------------- ------------------------------------------------------------------- ------------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: ----------------- ------------------------------------------------------------------- -------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ --------- --------- If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : ------------ -------------------------------------------------------------- -------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: ----- -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes _________ No _________ If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:___________ _____________ _______________________________________________________________________ __________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:___ _____________________________________________________ _____________________________________________________ Your relationship to such member firm or person: ______________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ ________________________________________________________________________________ Your relationship to such member firm or person:______________ ________________________________________________________________________________ ________________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ -------- -------- If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : ------------ -------------------------------------------------------------- -------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: ------ -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ -------- -------- If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : --------------- ----------------------------------------------------------------- ----------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: ---------------------- ---------------------------------------------------------------------- ----------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ -------- -------- If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : ------------ -------------------------------------------------------------------- -------------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: -------------------- -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : ----------------------------------------------------------------- ----------------------------------------------------------------- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: ----------------------------------------------------------------- -----------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:____________ ______________________________________________________________ ______________________________________________________________ Your relationship to such member firm or person:______________ ______________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes __Yes______ No __No______ If yes, list the affiliated member firm or person:_: ____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_: ______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:_______________ _________________________________________________________________ _________________________________________________________________ Your relationship to such member firm or person:______________ ______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:___________ _____________________________________________________________ _____________________________________________________________ Your relationship to such member firm or person:_____________ _____________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ --------- --------- If yes, list the affiliated member firm or person:_____________________ _______________________________________________________________________ _______________________________________________________________________ : -------------- ----------------------------------------------------------------- ----- ----------------------------------------------------------------- ----- Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________: --------------------- ---------------------------------------------------------------------- ----- ---------------------------------------------------------------------- -----

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:____________ Your relationship to such member firm or person:__________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No ________ If yes, list the affiliated member firm or person:: ____________ _______________________________________________________________ _______________________________________________________________ Your relationship to such member firm or person: ______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person:_______________________ _______________________________________________________________________ _______________________________________________________________________