FORM 2

 

VISION L.P.

GENERAL INFORMATION (Please Print)

CUSTOMER NAME(S): _______________________________________________________________

STREET ADDRESS: _________________________________________________________________

CITY: ________________________________ STATE: _______ ZIP

CODE:__________________

EMPLOYER'S NAME: ____________________________________________________________

POSITION: ______________________________________________________________________

YEARS THERE:________ BUSINESS TELEPHONE: _______________________________

IRA ACCOUNT: ________YES _________NO

HOME TELEPHONE: ___________________________

FAX NO.: _______________________________

NO. OF DEPENDENTS: _________________________

SOCIAL SECURITY #: __________________________ DOB: ______/______/______

US CITIZEN: _____YES _____NO

FINANCIAL INFORMATION

(If Joint Account, Report Combined)

GROSS ANNUAL INCOME US $: _________________________________

NET WORTH US $ (Excluding Primary Residence): _________________________________

LIQUID NET WORTH US $: __________________________________________________

BROKERAGE TRADING INFORMATION

NUMBER OF YEARS EXPERIENCE IN THE FOLLOWING AREAS:

FUTURES: ___________ FUTURES OPTIONS: _____________ STOCKS: ___________

STOCK OPTIONS: ___________ STOCK OR BOND MUTUAL FUND:____________

NAME OF FCM(S) WHERE YOU PRESENTLY HAVE AN OPEN FUTURES ACCOUNT:

___________________________________________________________________________

OTHER INFORMATION

EDUCATION

HIGH SCHOOL: _________ UNDERGRADUATE: __________ GRADUATE: __________

FIELD OF STUDY: ___________________________________________________________

HAVE YOU EVER FILED A CLAIM AGAINST A COMMODITY OR SECURITIES BROKER: _____YES ____NO

(If yes please include details in the Additional Information Section below)

HAVE YOU FILED BANKRUPTCY IN THE LAST 10 YEARS: _____YES _____NO

(If yes please include details in the Additional Information Section below)

IF JOINT ACCOUNT

JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP: ___________ TENANT-IN-COMMON: ________

(If Joint Account with spouse, include spouse's Social Security, Age and Occupation in Additional Information section)

IRS REQUIRED TAX INFORMATION (W-9 Section)

Part I: For United States Citizens, Legal Entities or Foreign Residents. For most individual taxpayers, the taxpayer identification number is the Social Security Number.

Social Security Number: _________________________________

Part II: Initial the box if you are NOT subject to backup withholding under provisions of section 3406(a)(1)(C) of the Internal Revenue Code.

Initial Here: ______________

CERTIFICATION: Under the penalties of perjury, I certify that the information provided is true, correct and complete for Section W-9.

Date: _____/_____/_____ Signature: ___________________________________________

 

VISION IS RELYING ON THIS INFORMATION IN APPROVING MY ACCOUNT AND EXTENDING ME CREDIT.

I (WE) AFFIRM AND REPRESENT THAT THE INFORMATION IS TRUE AND CORRECT. VISION IS AUTHORIZED TO OBTAIN A CREDIT REPORT.

DATE: _____________

SIGNATURE: ___________________________________________________

SIGNATURE: ___________________________________________________

APPROVED BY INTRODUCING BROKER: __________________________________________________

IB PRINCIPAL SIGNATURE: _______________________________________________________________

DATE: _______________

APPROVED BY VISION L.P. FCM:

VISION PRINCIPAL SIGNATURE: ___________________________________________________________

DATE : _____________________

ADDITIONAL INFORMATION: ____________________________________________________________________