Trade Authorization Form

Trade Authorization Form

Principal Name:   Principal Address:

Authorized Agent / Broker Name:   Agent Address:

Recitals

WHEREAS, Principal desires to engage Agent to execute and manage trades in accordance with the terms and limits set forth in this Trade Authorization Form; and

WHEREAS, Agent represents that it is duly authorized, licensed and qualified to execute trades and to provide the services described herein and will act in the Principal's best interests consistent with this authorization; and

WHEREAS, the parties intend for this document to constitute a binding authorization and agreement governing the scope, compensation and limitations of Agent's trading authority.

Authorization

The Principal hereby authorizes the Agent to place, execute, settle and, where applicable, cancel trades on behalf of the Principal subject to the specific parameters and limitations set forth in this form. This authorization is limited to transactions expressly described in the Scope of Work and Trade Parameters sections and does not authorize the Agent to withdraw funds from the Principal's bank account except as necessary to settle executed transactions where written settlement instructions have been separately provided by the Principal.

Scope of Work

Trade Parameters

Permitted Instruments: Equities Options Futures Forex Bonds

Maximum Order Size per Instrument:   Daily Aggregate Limit:

Pre-Trade Approval Required for Orders Exceeding Limits: Yes

Payment Terms

Compensation Amount:   Payment Schedule:

Late Payment Fee: on overdue balances and interest compounded monthly to the maximum extent permitted by law.

Term and Termination

Effective Date:   Expiration Date:

Either party may terminate this Authorization for convenience upon written notice to the other party delivered at least days prior to the intended termination date. Termination shall not relieve the Principal of obligations to pay for trades executed prior to termination or for fees accrued through the effective date of termination.

Immediate termination for cause is permitted where either party materially breaches a representation, violates applicable law, becomes insolvent, or where continuing the authorization would expose the non-breaching party to undue regulatory or financial risk.

Confidentiality

Each party agrees to maintain in confidence all non-public information received from the other party in connection with this Authorization and to use such information solely to perform obligations under this Authorization. Confidential information shall not include information that is or becomes publicly available through no fault of the receiving party or that is required to be disclosed by law or regulation, provided that the disclosing party is given prompt notice where permitted and reasonable assistance in seeking confidential treatment or a protective order.

Governing Law

This Authorization and any disputes arising out of or related to it shall be governed by and construed in accordance with the laws of the State of , without regard to conflicts of law principles.

Entire Agreement

This Trade Authorization Form, together with any schedules or written addenda executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings and agreements, whether written or oral. No amendment or modification shall be effective except in a writing signed by both parties.

Representations and Certifications

Each party represents and warrants that it has the full power and authority to enter into this Authorization and to perform its obligations hereunder, and that performance of this Authorization will not violate any applicable law, regulation, or contractual obligation.

Sign Now