Vision: New Account Setup

New Account Setup -	GLOBAL PRIME INVESTORS FUNDS
	JOINT WROS

Enter the Primary and Secondary Shareholder mailing addresses. Specify the apartment, suite or floor number for an apartment or multi-level complex.

NOTE: As mandated by the USA PATRIOT Act, use of a PO Box as a mailing address requires the entry of an additional non PO Box residential or business address.

Primary Shareholder

Mailing Address

Address:


City:
State:		Zip:

Residential Address

Address:


City:
State:		Zip:

Secondary Shareholder(s)


NOTE:	Check "Same as Primary Shareholder" if the Secondary Shareholder address is same as the Primary Shareholder.

Mailing Address
Same as Primary Shareholder

Address:


City:
State:		Zip:

Residential Address

Address:


City:
State:		Zip: