Individual Account Application

	Account Size: Standard
	Email Address:
	First Name:
	Last Name:
	Middle Name:
	Gender:
	Marital Status:
	Passport or Drivers License #:
	Date of Birth:
	Citizenship:

Personal Address

	Street:
	City:
	State:
	Zip Code:
	Country:
	Phone #:
	Mobile Phone #:
	Fax #:

Employment Details

Employment Status:

	Name of Current Employer:
	Nature of Business:
	Occupation:
	Years with Current Employer:

	Street:
	City:
	State:
	Zip Code:
	Country:
	Phone #:
	Mobile Phone #:
	Fax #:

Banking Information

	Bank Name:
	Bank Address:
	Bank Account #:
	Bank Account Holder Name:
	SWIFT Code:
	ABA #:
	Contact at Bank:

Financial Information

What is your total estimated annual income:
Net Worth (assets minus liabilities):
Liquid Assets (assets that can be quickly converted to cash)
Risk Capital, including initial deposit in this account (Risk Capital -- if lost would not change your lifestyle). Must be greater than intial investment.
Have you ever declared Backruptcy?
If yes, provide Date and Details:

Will any person other than Trader control, manage, or direct the trading in this account?
Do you have or have you ever had any other account(s) with GForce4x?
If yes, provide Account Numbers:

Trading Experience

Do you have experience trading securities?	Years:
Do you have experience trading options?	Years:
Do you have experience trading commodities?	Years:
Do you have experience trading futures?	Years:
Do you have experience trading currencies through interbank or OTC foreign exchange?	Years:
Do you plan on using an automated trading strategy (Expert Advisor) in this account?	Name:
Do you have an GForce4x Demo Account?	Number:

Signature

Referral

How did you hear about GForce4x?

Final Step & Submission

The following documentation is required in order to open your new account. Please print and complete each form and submit according to the guidelines below.

Required:

Contract Specifications: Sign to accept all disclosures as stated and agree to the terms of trading as well as to confirm the accuracy of all information provided herein.
W-9: US Citizens are required to complete all sections of the form as a declaration of personal identity and Social Security number. or W-8(BEN): Non-US Citizens are required to complete all sections of this form in order to declare country of residency as well as tax treaty status.
Identification: Please submit an unexpired photo ID such as Passport, Driver’s License, or other government-issued identification card.
Proof of Address: Please submit a utility bill, bank statement, brokerage statement or other document dated within the last 90 days to verify the address listed on your application.

If Applicable:

Additional Risk Disclosure: Complete the Additional Risk Disclosure only if the account holder declares a net worth or an annual income of less then $25,000 or if the account holder is under 21 or over 75 years of age.
Limited Power of Attorney: Complete the LPOA only if a party other than the account holder will be trading the account. Please complete the LPOA including the statement of any fees agreed upon by the concerned parties.
Trustee Certification: Complete only if the application is in the name of a trust; this supersedes a copy of your Trust.

There are 2 ways to submit these supporting documents:

Print, complete, scan and submit via email to: sales@gforce4x.com .
or Print, complete, and fax documents to: 1 (312) 884-7890.

When clicking submit, your application will be sent to GForce4x using a secure connection.
We highly recommend printing this application first as a backup, and for your records.

Ashkar