Common use of NASD AFFILIATION Clause in Contracts

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES _____ NO _____ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- *If Subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by Rule 3050 of the NASD Conduct Rules. ------------------------------------ Name of NASD Member Firm By: --------------------------------- Authorized Officer Date: --------------------------------

NASD AFFILIATION. Are you Is the Subscriber affiliated or associated with an NASD member firm (please check one): YES _____ | | NO _____ |_| If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- --------------------------------------------------------- *If Subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned Subscriber NASD member firm acknowledges receipt of the notice required by Rule 3050 Article 3, Articles 28(a) and (b) of the NASD Conduct RulesRules of Fair Practice. ------------------------------------ ------------------------------------- Name of NASD Member Firm By: --------------------------------- ---------------------------------- Authorized Officer Date: --------------------------------

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES _____ NO _____ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- _________________________________________________________ _________________________________________________________ _________________________________________________________ *If Subscriber subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by Rule 3050 of the NASD Conduct Rules. ------------------------------------ _________________________________ Name of NASD Member Firm By: --------------------------------- ______________________________ Authorized Officer Date: --------------------------------____________________________

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES _____ NO _____ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- -------------------------------------------- *If Subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by Rule 3050 Article 3, Sections 28(a) and (b) of the NASD Conduct RulesRules of Fair Practice. ------------------------------------ ------------------------------------------- Name of NASD Member Firm By: --------------------------------- Authorized Officer Date: --------------------------------_____________________________________

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES Yes _________ NO No __________ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- --------------------------------------------------------- *If Subscriber Purchaser is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by Rule 3050 Article 3, Sections 28(a) and (b) of the NASD Conduct RulesRules of Fair Practice. ------------------------------------ --------------------------------- Name of NASD Member Firm By: --------------------------------- ______________________________ Authorized Officer Date: --------------------------------____________________________

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES _____ NO _____ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- _________________________________________________________ _________________________________________________________ _________________________________________________________ *If Subscriber subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by Rule 3050 of the NASD Conduct Rules. ------------------------------------ _________________________________ Name of NASD Member Firm By: --------------------------------- ______________________________ Authorized Officer Date: --------------------------------____________________________

NASD AFFILIATION. Are you Is the Subscriber affiliated or associated with an NASD member firm (please check one): YES _____ |_| NO _____ |_| If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- *If Subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned Subscriber NASD member firm acknowledges receipt of the notice required by Rule 3050 Article 3, Articles 28(a) and (b) of the NASD Conduct RulesRules of Fair Practice. ------------------------------------ ----------------------------------- Name of NASD Member Firm By: --------------------------------- -------------------------------- Authorized Officer Date: --------------------------------------------------------------

NASD AFFILIATION. Are you affiliated or associated with an NASD member firm (please check one): YES Yes _________ NO No __________ If Yes, please describe: ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- _________________________________________________________ _________________________________________________________ *If Subscriber is a Registered Representative with an NASD member firm, have the following acknowledgment signed by the appropriate party: The undersigned NASD member firm acknowledges receipt of the notice required by NASD Rule 3050 of the NASD Conduct Rules3050. ------------------------------------ Name of NASD Member Firm By: --------------------------------- Authorized Officer Date: --------------------------------Authorized Officer