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THIS IS MY REQUEST FOR INFORMATION ON THE TYPE OF PROGRAMS I HAVE SPECIFIED BELOW.
CASH
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$25K+ Cash Deposit Program -- Information Request
Under $1 Million Programs -- Information Request
$1 to $9 Million Programs -- Information Request
$10 to $99 Million Programs -- Information Request
$100 Million Programs -- Information Request
$500+ Million Programs -- Information Request
Other or Not Applicable
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ALTERNATIVE
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Bank Instrument Programs -- Information Request
Brazilian LTNs -- Information Request
Farmers bonds/boxes -- Information Request
TOV Boxes -- Information Request
Black Eagle bonds -- Information Request
Other historical Asset Programs -- Information Request
Other or Not Applicable
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I HEREBY MAKE THE FOLLOWING REPRESENTATIONS:
MY REPRESENTATIONS
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I recognize that SRM makes no warranties or representations about any financial program (Program).
I stipulate that SRM Services Limited (SRM) has not solicited or induced me in any manner nor will I construe any information that I may receive from SRM to be financial counsel, advice, a recommendation for securities or a security offering.
I recognize that SRM is not a licensed dealer, broker or investment adviser and that no Programs revealed to me by SRM have been registered with any governmental securities commissions.
I agree that SRM business sources and contacts are highly confidential and proprietary to SRM and I agree to honor the confidentiality of SRM information and to not distribute it to other parties without SRM's advance consent.
I agree that SRM shall be the intermediary used for entry into any Program revealed by SRM in which I wish to participate.
I attest that I am not associated with, nor am I an informant for, any governmental law enforcement or regulatory agency.
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