CFD Capital Markets Online Application

Customer Account Application
For FOREX, CFD, and Option Trading

IMPORTANT INSTRUCTIONS

Please read these materials carefully. If you understand and accept the terms of each section, indicate your assent by selecting "I AGREE" in each respective section. Select “I DISAGREE” in any section you do not agree with or do not understand.

Accept no part of this documentation without reading it first. Seek the advice of a trained financial advisor or qualified attorney if you do not understand any part of this documentation.

A copy of applicant's passport or National ID and proof of residence must be submitted with application.

CFD Capital Markets SARL will be referred to as CFD Capital Markets throughout this documentation.

This Application does not constitute an offer to sell, nor a solicitation to buy, in any jurisdiction in which such an offer or solicitation may not lawfully be made.

For a full hard copy of the Customer Account Application, please click here.

Section I: Customer Information

*ALL FIELDS WITH ARE REQUIRED**

First Name: *
Middle Initial:
Last Name: *
Account Type: *
JOINT ACCOUNT ONLY:
First Name:
Middle Initial:
Last Name:
Mailing Address: *
Address:
City: *
State or Province: *
Postal Code: *
Country: *
Passport Number: *
Country of Citizenship: *
Proof of Identity: *
Proof of Address: *
National ID: *
Day Phone: *
Night Phone:
Fax Phone:
Cell Phone: *
Enter e-mail: *
Confirm e-mail: *
Account Objective:

Introducing Broker: *

I declare the above information to be true and correct and CFD Capital Markets may rely on such information. I will undertake to inform CFD Capital Markets in the event that this information materially changes.
I AGREE	I DISAGREE

Section II: Customer Financial Questionnaire
Depositing money into an account for the purpose of trading in FOREX, CFDs, and options is not appropriate for many individuals due to the high degree of risk or loss involved. The following questionnaire will help us determine if trading in currencies is a suitable vehicle for you. All information is solely for evaluative purposes and totally confidential.

Date of Birth:	Day * Month * Year *
Number of Dependents: *
Marital Status: *
Highest Education Level: *
Occupation:
Source of Funds: *
Annual Gross Income (all sources): *
Net Worth: *
Liquid Net Worth: *
Risk Capital (money you can afford to lose): *

TYPE N/A WHEN NOT APPLICABLE

Concerning your liquid assets, how much have you invested?
Stock and/or Mutual Funds: *		How Long?
Government and/or Corporate Bonds: *		How Long?
Precious Metals and/or Foreign Currencies: *		How Long?
Options and/or Futures Contracts: *		How Long?
Other liquid assets: Describe: *

Concerning your non-liquid assets, how much have you invested?
Real Estate Ventures: *		How Long?
Limited Stock/Partnership Units: *		How Long?
Collectables: (Art, Antiques, etc.): *		How Long?
Other non-liquid assets: Describe: *
Other special financal considerations: *

I hereby affirm that the foregoing answers are true and correct to the best of my knowledge and that I have not been instructed by anyone to misrepresent any fact herein. CFD Capital Markets may rely on the information provided above in determining my suitability as a Customer.
I AGREE	I DISAGREE

Section III: Customer Trading Agreement
To read the Customer Trading Agreement, please click here
I have carefully read, understood, and considered the Customer Trading Agreement and I agree to be legally bound by its terms and conditions.
I AGREE	I DISAGREE

Section IV: Risk Disclosure Statement
To read the Risk Disclosure Statement, please click here
I have carefully read, understood, and considered the Risk Disclosure Statement and affirm that I am able and willing to assume the risks of loss it describes.
I AGREE	I DISAGREE

Section V: Additional Risk Disclosure
To read the Additional Risk Disclosure, please click here
I have carefully read, understood, and considered the Additional Risk Disclosure and affirm that I am able and willing to assume the additional risks of loss it describes.
I AGREE	I DISAGREE

Section VI: Authorization of Introducing Broker
To read the Authorization of Introducing Broker, please click here
I have carefully read, understood, and considered the Authorization of Introducing Broker and I agree to be legally bound by its terms and conditions.
I AGREE	I DISAGREE

ONLINE ACCEPTANCE OF CUSTOMER ACCOUNT APPLICATION
By submitting the Customer Account Application you signify acceptance of all the terms and conditions and agree to be legally bound by it.

WIRE INSTRUCTIONS
Print Wire Instructions

© 2014 CFD Capital Markets, SARL - All Rights Reserved.