New Account Setup
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GLOBAL PRIME INVESTORS FUNDS
Enter New Client suitability information.
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Personal Information
Investor Name:
SSN:
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Birth Date:
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Home Phone #:
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Business Phone #:
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Occupation:
Declined
Years Employed:
Declined
Nature of Business:
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Employer's Name:
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Employer's Street Address:
Employer's City:
Employer's State:
Employer's Zip:
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Estimated Annual
Compensation:
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Marital Status:
Single
Married
Divorced
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# of Dependants:
Declined
Tax Bracket:
Declined
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Liquid Assets:
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Annual Income:
Declined
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Net Worth:
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Is the Investor employed by or associated with a member firm of NASD?:
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NASD Name:
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Affiliation Address 1:
Declined
Affiliation Address 2:
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Association with a
Publicly Traded Company:
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Joint Applicant Information
Name:
SSN:
Birth Date:
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Address:
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City:
State:
Declined
Zip:
Declined
Occupation:
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Joint Applicant's
Employer's Name:
Joint Applicant's
Employer's Street Address:
Joint Applicant's
Employer's City:
Joint Applicant's
Employer's State:
Employer's Zip:
Joint Applicant's
Estimated Annual Compensation:
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Joint Applicant's
# of Years Employed:
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Is the the Joint Applicant an employee or associate of a member firm of the NASD, Y or N?:
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Investment Information
Investment Experience (Years):
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Source of Funds:
Current Income
Savings
Rollover/Transfer of Retirement Assets
Surrender of Life or Annuitiy Contract
Sale of Securities
Other:
Declined
Investment Experience Types:
Stocks
Bonds
Mutual Funds
Margin
Limited Partnerships
Options
Other:
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Purpose of Investment:
Savings
Future Purchase
Education
Retirement
Death Benefit
Other:
Declined
Investment Time Horizon:
1-3 years
4-8 years
8-10 years
More than 10 years
Other:
Declined
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Portfolio Objectives:
Preservation of Capital
Capital Appreciation
Income
Growth
Aggressive Growth
Tax Advantage
Other:
Declined
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Risk Tolerance:
Declined
Account Source:
Declined
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