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:__________ _____ __________________________________________________________________ ______________________________________________________________________

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 __Yes______ No __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:______________ ______________________________________________________________ ______________________________________________________________: --------------------- ---------------------------------------------------------------------- ----- ---------------------------------------------------------------------- -----

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:______________ : ______________________________________________________________ ______________________________________________________________