eZforex Financial Institution Sign-up   Click to see security statement(Secure Form)     TRUSTe online privacy certification

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In order to save time during registration, please have the following information available.
For questions, call 1-877-393-6739.

1. Federal Tax ID #?
2. Are you listed with Dun & Bradstreet?
3. What is your asset size?
4. Bank Reference Information:
    A. Bank name
    B. Address
    C. Phone number
    D. Account #
    E. Contact Person
5. ACH Debit information: (if different)
    A. Bank Name
    B. Address
    C. Phone number
    D. Routing #
    E. Account #
    F. Account holder name
    G. Account Type? (Checking or Savings)
    H. Contact Person
6. Who are you regulated and audited by?
7. Most recent date regulated?
8. Most recent date audited?
9. Patriot Act Questionnaire Help Sheet (please contact eZforex to e-mail this document)
10. Compliance Officer Name
11. Copy of AML policy - or an outline of the AML