Test | Cobra Trading

Home Phone*
Mobile Phone
Fax
Account Title (applicant name or entity)*
Tax ID Number (SSN)*
Tax ID Number (EIN)*
Trading Platform*
Customer Suitability
If you are opening a daytrading account with CT, do you have $25,000 in available investment capital?*
- Yes
- No
Is high risk speculation your sole investment objective for the assets in your Cobra Trading, Inc. account?*
- Yes
- No
If no, please explain your investment objectives*
Can you afford to lose most, all, or more than all of the capital you intend to invest in your CT account?*
- Yes
- No
If no, please explain*
Have you had any education in trading and/or investment strategies?*
- Yes
- No
If yes, please describe*
Trade Options
Do you wish to trade Options*
- No
- Yes (additional fees apply)
Options NA
Fee Acceptance
Fee Acceptance*
- Yes
I acknowledge and agree that Cobra Trading, Inc. will deduct any applicable fees (such as short locate fees, overnight short interest, margin interest, monthly software and market data fees, etc.) electronically from my trading account.

FINRA Rule 2165 (Financial Exploitation of Specified Adults)
Trusted Contact Person Information
- I decline to provide at this time
By choosing to provide information about a trusted contact person, you authorize us to contact the trusted contact person listed below and disclose information about your account to that person in the following circumstances: to address possible financial exploitation, to confirm the specifics of your current contact information, health status, or the identity of any legal guardian, executor, trustee or holder of a power of attorney, or as otherwise permitted by FINRA Rule 2165 (Financial Exploitation of Specified Adults).
Trusted Contact Name*
FirstLast
Trusted Contact Address*
Street AddressCityState / Province / RegionZIP / Postal CodeCountry
Trusted Contact Phone*
Trusted Contact Mobile
Trusted Contact Work Phone
Trusted Contact Email
Trusted Contact Relationship to Applicant*

Margin Account
LLC Tax Classification*
Exemption from FATCA reporting code (if any)
Rule 14b-1(c) of the Securities Exchange Act requires disclosure to requesting companies of the name, address and securities positions of customers who are beneficial owners of that company’s securities, unless the customer objects. If you do not object to this disclosure, no action is required. If you do object, please check the box below.
Do not disclose this information to requesting companies.
- Yes

Joint Agreement
Clause*
- Tenants in Common
- Joint Tenants with Rights of Survivorship
Tenants in Common We are owners in common, each of having an undivided interest therein.

Joint Tenants with Rights of Survivorship We are joint owners with right of survivorship, so that in case of the death of any of us, the entire account shall become the property of the survivor or survivors.
Cross out tenants in common
Cross out joint tenants
Send Notices and Communications to*
FirstLast
Address (for Notices and Communications)*
Street AddressCityStateZIP Code

Corporate Account Agreement
To
Corporation Name*
Corporation President*
FirstLast
Corporation Vice President*
FirstLast
Corporation Treasurer*
FirstLast
Corporation Secretary*
FirstLast
Will this agreement be authorized by the President or Vice President, or other officers*
- President/VP
- Other Officers
Officer 1 Name*
FirstLast
Officer 2 Name
FirstLast

Trustee Certification
Full title of the Trust to which this Certification applies*
(Example: Jack Smith and Joan Smith trustees for the benefit of John Smith)
Trust is*
- Revocable
- Irrevocable
- Testamentary
Governing Trust Date*
MM
DD
YYYY
Latest Trust Amendment Date*
MM
DD
YYYY
Name of Successor trustees, if any
Name of Settlors/Grantors/Makers of the Trust*
Beneficiaries of the Trust*

Customer Suitability