Account Forms

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CUSTOMER ACCOUNT DOCUMENTATION

I. Customer Information
II. Customer Profile
III. Disclosure Statement

IMPORTANT: To complete the Customer Account Documentation, fill in the customer information below and answer the questions on page 2. Also read all parts of this documentation, agree to all terms and conditions, and enter your name and date where indicated.

I. CUSTOMER INFORMATION

*First Name:
  
Last Name:
  
Street Address:
  
Apt. Number:
  
City:
  
State:
  
Zip:
  
Phone Number(H):
  
Phone Number(W):
  
Cell Number:
  
Fax Number:
  
EMail Address:
  
Social Security Number:
  

II. CUSTOMER PROFILE

The purchase of precious metals is not suitable for all individuals because of the risk involved and the long term nature of the purchase. Please complete the following questions so we can determine if precious metals are a suitable investment for you:

What's your occupation?
Your employer or company name?
What is your present income?
Date of Birth? Use format mm/dd/yyyy
Are you married, single, divorced or widowed?
What is your net worth?
How much do you have invested in stocks?
Concerning your liquid assets, how much money do you have in:
a. Certificates of Deposits:
b. Treasury Bills: 
c.  Money Market Funds: 
d.  Savings Accounts: 
e.  Checking Accounts: 
f.  Other Liquid Assets: 
How much do you have invested in precious metals or collectable investments such as art, coins, jewelry, etc.?
What percentage of your net worth is in real estate?
If you sold your real estate today, how much cash would you clear after paying your mortgage?

Electronic Signature Addendum
You hereby consent and agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action while using any electronic service we offer; or in accessing or making any transactions regarding any agreement, acknowledgment, consent, terms, disclosures or conditions constitutes your signature, acceptance and agreement as if actually signed by you in writing. Further, you agree that no certification, authority or other third party verification is necessary to validate your electronic signature; and that the lack of such certification or third party verification will not in any way affect the enforceability of your signature or any resulting contract between you and International Monetary Metals.

By clicking SUBMIT below, I hereby represent that the information provided by me on the customer information section of this packet is true and correct. I further represent that I will notify International Monetary Metals of any material changes. International Monetary Metals reserves the right, but has no duty, to verify the accuracy of information provided, and to contact such bankers, brokers and others as it deems necessary.

I acknowledge that this is a legally binding contractual agreement. I have read it carefully, and by submitting this agreement application, I agree to be bound by every term and condition. No modification of this Agreement is valid unless accepted by International Monetary Metals in writing. I confirm that I have not made any alterations or deletions to this agreement or any such documents from the original forms posted on the website. In the event that there are any alterations or deletions to this agreement or any such documents such alteration and deletions shall not be binding on you and said original forms shall govern Trader account relationship with International Monetary Metals.

Please check the terms and conditions box below.

Please enter your Signature below.    Please enter the current date below (mm/dd/yyyy)

Electronic Signature:   Date: