CFS Futures

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	Confidential Questionnaire

Quick Confidential Questionnaire ......

* Email

* First Name

* Last Name

Address

State

* Best Phone #'s:

Time to Call; Time Zone

Have you Traded before?		Yes No

* Currently Trading?		Yes No

Commodity Futures You Trade:

Type of Account		Full Service Account Broker Assisted Account On-line Account Managed Futures Account

Quick Questionnaire

Please type the text in the box.

The risk of loss in trading futures and/or options is substantial and each investor and/or trader must consider whether this is a suitable investment. Past performance, whether actual or indicated by simulated historical tests of strategies, is not indicative of futures results.