Apply form

1OPEN NEW ACCOUNT

2NEW INVESTORS

3CLIENT AGREEMENT

Account Holder’s Information

Name of primary account holder: *

Name as it appears on Passport or other ID

Residential address: P.O. boxes are not permitted *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mailing address:

Use my residential address details

If difference please detail your mailing address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home telephone number: *

Include country and area code

Cellular telephone number: *

Include country and area code

Email address: *

Date of Birth: *

Nationality: *

Occupation:

Office telephone number:

Include country and area code

Employer:

Employer
Self-employed

If Self-employed, please detail

Secondary account holder

Relationship to primary holder

Spouse
Family
Friend
Other (specify)

Please specify

Name of secondary account holder

Name as it appears on Passport or other ID

Contact telephone number of this acccount

Please include country and area code

TRADING ACCOUNT - CLIENT AGREEMENT

i. Contained in this agreement are the terms applicable to the account owner named on this application (client) for purchasing and selling of stocks, bonds, securities, commodities and private placements by Beekman Securities, Inc.
ii. Transactions made on behalf of client are subject to regulations, rules, by-laws, constitution, and normal industry practice relating to the exchanges / clearing houses of each transaction. Client acknowledges that securities will fluctuate in value depending upon market conditions.
iii. Instructions from the client will be either verbal or written concerning transactions that Beekman Securities will carry out on behalf of client.
iv. All written correspondence to client shall be accepted as accurate, unless written objection is immediate, or not longer than 3 days from initial receipt, sent to Beekman Securities by registered mail. All confirmations of trading transactions will be sent by electronic mail (e-mail). Ordinary correspondence will be sent by electronic mail (e-mail). Any change of clients mailing address must be notified to Beekman Securities in writing.
v. Currency “Slip” notices (buy/sell order on trade confirmation) are quoted in the currency applicable to country where the shares are traded and in currency of client resident country. Beekman Securities is not responsible in any way for any losses and/or damages suffered by exchange rate fluctuation.
vi. The directors and/or officers of Beekman Securities cannot be held responsible or liable for any loss and/or damages incurred by client.
vii. The “Trading Account – “Client Agreement” can be terminated by Beekman Securities or client within any thirty days period in writing only with the commencement date being the receiving time of the written notice by the party not causing / requesting the termination. When such period is expired, Beekman Securities will return to client any proceeds of sales made under “best effort” situation, or actual share certificates.

Agree with terms *

I agree to the terms set in the TRADING ACCOUNT - CLIENT AGREEMENT

(You are required to check this box indicating your acceptance of the terms in order for us to begin your account set up. Failure to check this box will result in your having to resubmit this form with your acceptance.)

Primary Account Holder

Date / Time *

Date

Time

Name *

First

Last

Signature

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Please upload you signature

Secondary Account Holder

Date / Time *

Date

Time

Name *

First

Last

Signature

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Account Holder’s Information

New Investors

Please list your investment objectives:

Financial Information

Experienced Investors

TRADING ACCOUNT - CLIENT AGREEMENT

Primary Account Holder

Secondary Account Holder