Entity New Account Application Form


Account Setup

Account Types *
Trust: *
Optional Features *
**Is the entity a Foreign Financial Institution? (Foreign Financial Institutions include, but are not limited to, banks, broker dealers, futures commission merchants, introducing brokers, mutual funds, money transmitters and currency exchanges) *

Entity Account Information

Legal Address

Mailing Address


Personal Information For Primary Authorized Individual

Address for account statements, if different from above

Marital Status *

Employment Information and Affiliations

If employed, please state the name and address of your employer and the nature of the business. If you are self-employed, provide the name of your business and industry. If retired, please list your last position.


Interest in a Public Company

Please check the appropriate box(es) below and indicate ticker symbol(s) if you, or any member of your immediate household, are associated with a public company, whether US or non-US, in one or more of the following capacities

An executive officer is defined as a company’s president, any vice president in charge of a principal business unit, division or function (such as sales, administration or finance), any other officer who performs a policy making function, or any other person who performs similar policy making function for the company. If you are not sure whether you are an executive officer, please consult with your company’s in-house counsel.

Annual Income from All Sources in U.S. Dollars *
Liquid Net Worth in U.S. Dollars: Exclude the value of your real estate and other illiquid assets *
Investment Experience *
Investment Objectives *- Preservation of Capital: An investment objective of Preservation of Capital indicates you seek to maintain the principal value of your investments and are interested in investments that have historically demonstrated a very low degree of risk of loss of principal value.
- Income: An investment objective of Income indicates you seek to generate income from investments and are interested in investments that have historically demonstrated a low degree of risk of loss of principal value.
- Capital Appreciation: An investment objective of Capital Appreciation indicates you seek to grow the principal value of your investments over time and are willing to invest in securities that have historically demonstrated a moderate to above average degree of risk of loss of principal value to pursue this objective.
- Speculation: An investment objective of Speculation indicates you seek a significant increase in the principal value of your investments and are willing to accept a corresponding greater degree of risk by investing in securities that have historically demonstrated a high degree of risk of loss of principal value to pursue this objective.
Time Horizon (Check one) *
Risk Tolerance (Check one) *- Conservative: You want to preserve your initial principal in this account, with minimal risk, even if that means this account does not generate significant income or returns and may not keep pace with inflation.
-Moderate: You are willing to accept some risk to your initial principal and tolerate some volatility to seek higher returns, and understand you could lose a portion of the money invested.
-Aggressive: You are willing to accept high risk to your initial principal, including high volatility, to seek high returns over time, and understand you could lose a substantial amount of the money invested. -Speculative: You are willing to accept maximum risk to your initial principal to aggressively seek maximum returns, and understand you could lose most, or all, of the money invested.
Total Net Worth of All Assets in U.S. Dollars: Total assets mi-nus total liabilities *
Liquidity Needs: The ability to quickly and easily convert to cash all or a portion of the investments in this account without experi-encing significant loss in the value from, for example, the lack of a ready market, or incurring significant costs or penalties is *

About The Account Holder

Are you in any direct or indirect ownership by any Politically Exposed Person (“PEP”)? *a Politically Exposed Person is someone who, through their prominent position or influence, is more susceptible to being involved in bribery or corruption.
Are you affiliated with or employed by a stock exchange or member firm of an exchange or FINRA, or a municipal securities broker-dealer? (if “yes,”please attach a letter from your employer approving the establishment of your account when submitting this application) *
Have you ever been the subject of a bankruptcy proceeding, receivership, or similar action? *

Web Site Access and Online Delivery Consent

I hereby authorize Velox to e-mail to me (Check all that apply) *

BY SIGNING ABOVE AGREEMENTS, I (WE) ACKNOWLEDGE THE FOLLOWING: (1) THE CUSTOMER ACCOUNT AGREEMENT CONTAINS A PREDISPUTE ARBITRATION CLAUSE AND IN ACCORDANCE WITH THIS AGREEMENT I (WE) AGREE IN ADVANCE TO ARBITRATE ANY CONTROVERSIES WHICH MAY ARISE BETWEEN OR AMONG ME (US), MY BROKER, AND/OR CLEARING FIRM; (2) RECEIPT OF A COPY OF THE THIS CASH ACCOUNT OPENING AGREEMENT, AND CUSTOMER MARGIN AND SHORT ACCOUNT AGREEMENT; (3) THE INFORMATION PROVIDED ABOVE IS ACCURATE; (4) IF I DO NOT BORROW MONEY IN THE MARGIN ACCOUNT, I WILL NOT BE CHARGED INTEREST.

THOES ARE CONTRACTUAL AGREEMENT DO NOT SIGN BELOW UNTIL YOU HAVE READ THIS AGREEMENT CAREFULLY.


CORPORATE RESOLUTION

I, the undersigned, hereby certify to Velox Clearing that I am Secretary of (“Corporation”), located in , and that I have been duly elected and am presently serving in that capacity. I further certify that the following resolutions have been duly adopted by the Board of Directors, or other governing body, of the Corporation and such resolutions are in full force and effect as of the date hereof and have not been revoked or rescinded as of this date: RESOLVED, that the President, Vice President and the Treasurer of his corporation, or any one of such officers acting individually, are here by fulling authorized ad empowered to 1) open a brokerage account with Velox, 2) transfer, endorse, sell, assign set over and deliver any and all shares of stocks, bonds, debentures, notes, evidence of indebtedness or other securities( including short sales) now or hereafter standing in the name of or owned by this corporation. 3) purchase stocks, bonds, debentures, notes, evidences of indebtedness, and other securities( on margin or otherwise), 4) borrow money and draw upon credit lines of this corporation to secure and margin trades, 5)receive requests and demands for additional margin, notices of intention to sell or purchase, and other notices and demands of whatever character, 6) receive, affirm and acquiesce in the correctness of notices, confirmations, statements of account and other records and documents, 7) settle, compromise, adjust or release any and all claims, demands, disputes or controversies with Velox or any of its correspondent broker/dealers, and 8) make, execute and deliver, under the corporate seal of this corporation, any and all written instruments necessary or proper to effectuate the authority hereby conferred.

Investment Permitted: *

Trader List