NATIONAL COMMODITIES CORP. INC.
CUSTOMER ACCOUNT APPLICATION
ACCOUNT NO._______________

CUSTOMER 1 CUSTOMER 2   (COMPLETE FOR JOINT, PARTNER ACCOUNTS)

_NAME____________________________S.S.# OR TAX I.D.#________________

_ADDRESS_________________________________________________________

_CITY_____________________________STATE_____ZIP___________________

_EMPLOYER_______________________OCCUPATION____________________

_ADDRESS_________________________________________________________

_CITY_____________________________STATE_____ ZIP__________________

_HOME PHONE____________________BUS. PHONE_____________________

_CELLULAR/BEEPER_______________FAX_____________________________

_DATE OF BIRTH___________________CITIZENSHIP_____________________

_NO OF DEPENDENT_______________MARITAL STATUS_________________

_NAME____________________________S.S.# OR TAX I.D.#________________

_ADDRESS_________________________________________________________

_CITY_____________________________STATE_____ZIP___________________

_EMPLOYER_______________________OCCUPATION____________________

_ADDRESS_________________________________________________________

_CITY_____________________________STATE_____ ZIP__________________

_HOME PHONE____________________BUS. PHONE_____________________

_CELLULAR/BEEPER_______________FAX_____________________________

_DATE OF BIRTH___________________CITIZENSHIP_____________________

_NO OF DEPENDENT_______________MARITAL STATUS_________________
   
 WOULD YOU PREFER RECEIVING YOUR DAILY & MONTHLY STATEMENTS BY:

E-mail                   Regular Mail                   Fax
If Fax or E-mail, please provide # and/or address in the line below

________________________________________________________________________

ANNUAL INCOME

$_______________________

NET WORTH (EXCLUSIVE OF RESIDENCE)

$_______________________

ANNUAL INCOME

$_______________________

NET WORTH (EXCLUSIVE OF RESIDENCE)

$_______________________

 
______BANKING INFORMATION____

_NAME______________________________

_ADDRESS__________________________
_BRANCH_____TELEPHONE___________
_ACCOUNT TYPE____________________
___  CHECKING  ___  OTHER
___  OCCUPATION

_ACCOUNT NO._____________________
INVESTMENT EXPERIENCE
NAME TRANSACTIONS
PER YEAR
AVERAGE
TRANSACTION SIZE
YEARS OF
EXPERIENCE
DATE OF LAST
TRANSACTION
STOCKS        
BONDS        
OPTIONS        
FUTURES        

Initial Deposit to Account:                                                   
TYPE OF TRADING
___ SPECULATIVE
___ HEDGE 
(SUBMIT SEPARATE HEDGE
DESIGNATION FORM)
TYPE OF ACCOUNT

___ INDIVIDUAL   ___ JOINT___ PARTNERSHIP   

___ CORPORATE   ___ TRUST   ___ I.R.A.

Expected Trading Pattern

Contracts Per Trade  _1-25 _26-50 _51-100

 ___Both      ___Futures __Options
 ___All         ___Grains  __Financials
 ___Equities  __Energies __Metals

Single Stock Futures
Have you received the 26 page Risk Disclosure? __Yes  __No

Are you affiliated with or employed by a futures or securities exchange, NFA, NASD, a member firm of either of those entities.
 __Yes __No

Are you a 'control person' or affiliate of a public company as defined in SEC Rule 144? This would include, but is not necessarily limited to, 10% shareholders, policy making executives, and members of the Board of Directors.
  __Yes, Trading Symbol__________
  __No
PLEASE SIGN AND RETURN THE NECESSARY (PAGES 2 & 9) AND OPTIONAL SIGNATURE PAGES TO NATIONAL COMMODITIES CORP. INC.


SIGNATURE CUSTOMER 1

____________________________ Date: ______________

SIGNATURE CUSTOMER 2

_____________________________ Date: ______________


APPROVAL OF BRANCH OFFICE MANAGER OR I.B.

_____________________________ Date: ______________

APPROVAL OF NCCI

_____________________________ Date: ______________


ALL NATIONAL COMMODITIES CORP. INC CUSTOMERS ARE REQUESTED TO SUBMIT NEW FINANCIAL INFORMATION EVERY CALENDAR YEAR, OR UPON ANY SIGNIFICANT CHANGE IN FINANCIAL CONDITION

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