Print this form and mail to:    The Crown - 1423 E 99TH STREET,  WATTS CA 90002. Tel: (323) JOY-COMM

Name (as appears on your statement): _____________________________________________________

Address: ____________________________________________________________________________

Tel: _________________________________ Fax: _________________________________

Your account number (required): _______________________________ Today?s date: ______________

Years of experience (trading): __________________________ Age: _____________________________

I ________________________________________ do hereby agree to comply with all rules and regulations as set forth in the California Exchange rules and regulations. As a trader, I understand there are huge risks of losing my entire investment in an given company, I will not hold Femis Kerger & Company liable for any loss thereof while trading on the California Exchange.

I certify that I am:  [  ] Accredited Investor. [  ] Non-Accredited Investor.  Download the investor suitability questionnaire if you?re not sure.

Write your login information here when you receive it:          User Name    : ______________                                                                                                           Access Code : ______________

(Femis Kerger & Company will never ask for any of your passwords. Once you fill out the complete application, keep a copy for your records).

Want to do an application by email? email us @ fkac.mjfworld.com

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Signature of Applicant/Shareholder                                                                 Date: