Select products Platform:
How to open an account
Full Name:
Birthday:
Title
Nationality
Residence Country
City
Marital Status
ID/Passport Number
Zip
Address
Cell Phone
Tel-Phone
Initial expected Investment
Email Address
Email Address confirmation
Leverage
Were you referred by an IB?
If Yes, please provide IB Number:
Bank Name
Bank Account
Bank Address
Swift Code
Securities Years
Options Years
Commodities Years
Futures Years
Forex Years
1.What is your total estimated annual income?
2.Risk Capital, including initial deposit in this accountRisk Capital--if lost would not change your lifestyle.)
3.What is your total net worth?(Excluding residence)?
4.What is your liquid net worth?
5.Will any other person(s) guarantee, or have financial interest in this account?
If Yes please provide Name:
6.Will any person other than Client control, manage, or direct the trading in this account?
7.Do you have or have you ever had any other account(s) with LanceBank
Date:
[Day-Month-Year]
Signature(Full Name):