SIGNATURE PAGE

Confirmation Number: 1 ID :

 

Thank you for submitting your application.

In order to process your application, would you please fax or email the signature page to
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THIS IS A CONTRACTUAL AGREEMENT. YOU WILL BE BOUND HEREBY.
DO NOT SIGN UNTIL YOU HAVE READ AND AGREE ALL OF THE FOREGOING CAREFULLY.



CUSTOMER AGREEMENT

  I hereby represent that the information provided online by me is true and correct. I further represent that I will notify Capitol Academy SARL of any material changes in writing. Capitol Academy SARL reserves the right, but has no duty, to verify the accuracy of information provided, and to contact such bankers, brokers and others as it deems necessary. I further represent that I have read and fully understand each of the agreements, statements, and authorizations.

  I, HAVE ACCEPTED THE CAPITOL ACADEMY SARL AGREEMENT AS PRESENTED ON CAPITOL ACADEMY SARL WEBSITE (WWW.CAPITOL-ACADEMY.COM).

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Client1 Full Name:-------------------------------------------------------------

Date:---------------------------- ------------------------------------

                                            Signature: