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PPC Account Opening Form
1
Application Type
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Individual Account
Joint Account
Corporate Account
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2
Company or Trust Name
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3
Applicants Information
*
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Mr.
Ms.
Mrs.
Dr.
Other
Mr.
Mr.
Ms.
Mrs.
Dr.
Other
Prefix
First Name
Middle Name
Last Name
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4
Business Incorporation Number
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5
Phone Number
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Country Code
Phone Number
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6
Email
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example@example.com
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7
Create a password for your account
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8
Confirm the password for your account
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9
What is your date of birth?
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-
Date
Day
Month
Year
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10
What is your nationality?
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11
What is your country of residence?
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12
What are your address details?
*
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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13
Secondary Applicants Information
*
This field is required.
For Joint Accounts
Mr.
Ms.
Mrs.
Miss.
Dr.
Other
Mr.
Mr.
Ms.
Mrs.
Miss.
Dr.
Other
Prefix
First Name
Middle Name
Last Name
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14
Secondary Applicants Phone Number
*
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Country Code
Phone Number
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15
Secondary Applicants Email
*
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example@example.com
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16
Secondary Applicants date of birth?
*
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-
Date
Day
Month
Year
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17
Secondary Applicants nationality?
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18
Secondary Applicants country of residence?
*
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19
Secondary Applicants address details?
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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20
What financial institution will use to credit funds to your account?
e.g. HSBC, Bank of Ireland etc..
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21
Know Your Client (KYC): Select your
current annual income
*
This field is required.
€25,000 - €49,999
€50,000 - €99,999
€100,000 - €249,999
€250,000 - €499,999
€500,000 - €999,999
€1,000,000 - €2,499,999
€2,500,000 - €4,999,999
€5,000,000+
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22
Know Your Client (KYC): Select your current
liquid net worth
*
This field is required.
€25,000 - €49,999
€50,000 - €99,999
€100,000 - €249,999
€250,000 - €499,999
€500,000 - €999,999
€1,000,000 - €2,499,999
€2,500,000 - €4,999,999
€5,000,000+
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23
Know Your Client (KYC): Please select your
current total net worth
*
This field is required.
Including assets...
€25,000 - €49,999
€50,000 - €99,999
€100,000 - €249,999
€250,000 - €499,999
€500,000 - €999,999
€1,000,000 - €2,499,999
€2,500,000 - €4,999,999
€5,000,000+
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24
KYC (Know your Client) Identification
To comply with, Know Your Customer (KYC) regulations, we require certain documents. There for we kindly request that you send us a scanned copy of your ID card, passport or driving licence. You can upload your document(s) below;
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Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload a scanned copy of one of the following; passport, driving licence or government issued ID card.
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25
Upload Proof of Address Documemnt
Again to adhere to KYC regulations we also require you to send us a scanned copy of a proof of address document, this can be in the form of a utility bill or bank statement dated no older that 3 months old.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Upload a scanned copy of a recent utility bill or a bank statement. This should be dated within the last three months.
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26
Terms & Conditions
*
This field is required.
Your agreement with PENN PARK CAPITAL MANAGEMENT (‘PENN PARK CAPITAL MANAGEMENT’) consists of the following terms set out for an advisory account. For the following terms, we have included ‘You’, ‘Your’, and ‘Client’, which refers to the ‘Individual’, ‘Person(s)’, or ‘Entity’ who is the registered owner of the account. The following terms, which include ‘PENN PARK CAPITAL MANAGEMENT’ will refer to the company. AMENDMENTS OF TERMS & CONDITIONS PENN PARK CAPITAL MANAGEMENT is entitled to amend these Terms & Conditions without notice if the amendments are not materially adverse to the Client. Amendments of these Terms that are materially adverse to the Client may occur at any time by PENN PARK CAPITAL MANAGEMENT providing thirty days' notice. WARRANTIES, INDEMNITIES & DEFAULT The Client warrants and represents that: The Client has full power to enter into and perform its obligations under these Terms. The Client is willing and able, financially and otherwise, to assume the risk of making speculative investments. It complies with all laws to which it is subject, including, without limitation, all tax laws and regulations, exchange control requirements, sanctions, and registration requirements; the information provided by PENN PARK CAPITAL MANAGEMENT is complete, accurate, and not misleading in any material respect. The Client authorises PENN PARK CAPITAL MANAGEMENT to buy, sell, apply, set off and/or charge in any manner any or all of the collateral in order to discharge any or all of the Client's obligations owed to PENN PARK CAPITAL MANAGEMENT. If the Client is in breach of these Terms, including, but not limited to, (i) if the Client fails to make any payment or fails to do any other act required under these Terms, if the Client fails to remit funds necessary to enable PENN PARK CAPITAL MANAGEMENT to take delivery of any trade(s) on the first due date; if any representations or warranties given by the Client are, or become, untrue or misleading; PENN PARK CAPITAL MANAGEMENT shall not be liable for any failure, hindrance or delay in performing its obligations under these Terms where such failure, hindrance or delay is, directly or indirectly, PENN PARK CAPITAL MANAGEMENT shall not be liable for any losses due to any Force Majeure Event. RESPONSIBILITY The Client shall be responsible for all orders and instructions provided, the accuracy of all information in the Client's name, and any other personal identification means implemented to identify the Client. The Client authorises PENN PARK CAPITAL MANAGEMENT on behalf of the Client, take any or all of the actions required to enforce and/or preserve PENN PARK CAPITAL MANAGEMENT's rights, without notice to the Client, and the Client acknowledges that PENN PARK CAPITAL MANAGEMENT shall not be responsible for any losses or consequences associated with PENN PARK CAPITAL MANAGEMENT taking any such action unless PENN PARK CAPITAL MANAGEMENT has exercised negligence and materially breached these Terms. SERVICE FEES PENN PARK CAPITAL MANAGEMENT will charge commission and fees related to the purchase and sale of any investments. Fees will be charged as a fixed amount corresponding to the transaction; this will be a one percent charge on the purchase and sale of all asset classes by PENN PARK CAPITAL MANAGEMENT. RISK ACKNOWLEDGEMENT Any investments include risks, and the Client has received no assurance otherwise and no guarantees of profit or similar representations from unless specifically stated in the investment agreement. ADVISORY SERVICE PENN PARK CAPITAL MANAGEMENT provides advisory services to the Client unless otherwise agreed. PENN PARK CAPITAL MANAGEMENT accepts no obligation to provide information or recommendations regarding any financial product or Service. When PENN PARK CAPITAL MANAGEMENT includes advice, information, or recommendations to the Client, PENN PARK CAPITAL MANAGEMENT makes no representation, warranty, or guarantee as to, and shall not be responsible for, the profitability, accuracy or completeness of such advice, information or recommendations. PENN PARK CAPITAL MANAGEMENT does not provide any advice to the Client on any tax-related matters. PENN PARK CAPITAL MANAGEMENT encourages the Client to obtain independent advice from its auditor and/or legal counsel concerning tax implications of the respective Services. The Client acknowledges, recognises, and accepts that: Any recommendation and any information communicated by PENN PARK CAPITAL MANAGEMENT does not constitute an offer to enter into a trade(s) or an offer to buy or sell or the solicitation of an offer to buy or sell any Instrument. Such recommendation and information, although based upon information from sources believed by PENN PARK CAPITAL MANAGEMENT to be reliable, may be based solely on a broker's opinion. Any information communicated may be incomplete and may be unverified and/or unverifiable. TERMINATION The Client relationship shall remain in force until terminated. The Client is entitled to terminate the relationship with PENN PARK CAPITAL MANAGEMENT immediately by giving written notice. PENN PARK CAPITAL MANAGEMENT is entitled to terminate the relationship with the Client by providing a minimum of one month's notice on a durable medium. ACCOUNT AUTHORISATION By signing below you are agreeing to the Terms & Conditions, you acknowledge that your agreement signifies and establishes your relationship with PENN PARK CAPITAL MANAGEMENT.
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