Position-based / Net-based Transfer Form

* Required fields

GFT Account Holder's Name*

GFT Account #*

The undersigned Customer ("Customer") hereby directs and authorises* Global Forex Trading, subsidiary of Global Futures and Forex, Ltd. ("GFT") to transfer the above referenced account(s) from:

Net-based to Position-based
Position-based to Net-based

*Before the change can be facilitated, all open positions must be closed at the direction of the customer. This form will not act as authorisation to close positions.

By checking “yes” and signing below, Customer acknowledges agreement and understanding of all documents listed below:

Primary Account Holder* YesNo

Joint Account Holder YesNo

•     Foreign Currency and Off-Exchange Options Account Agreement
•     Foreign Currency and Off-Exchange Options Risk Disclosure Statement
•     Privacy Notice
•     Execution Policy

Primary Account Holder Electronic Signature*

Date*

I have typed my name on this form and hereby submit this form with the same effect as if my typed name were my manual signature.

Joint Account Holder Electronic Signature

Date

I have typed my name on this form and hereby submit this form with the same effect as if my typed name were my manual signature.

CD01A.487.112910