Common use of NASD AFFILIATION Clause in Contracts

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- ____________ _______________________________________________________________ _______________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------______________________________________________________________________ ______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- --------- --------- If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- -------------- ----------------------------------------------------------------- ----- ----------------------------------------------------------------- ----- Your relationship to such member firm or person: ------ -------------------------------------------------------------------- ----------------------------------------------------------------------------------------- ---------------------------------------------------------------------- ----- ---------------------------------------------------------------------- -----

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes _____ No -------- -------- _____ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :__________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:__________ ______________________________________________________________________ ______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- --------------- ----------------------------------------------------------------- ----------------------------------------------------------------- Your relationship to such member firm or person: ------ -------------------------------------------------------------------- ------------------------------------------------------------------------------------------ ---------------------------------------------------------------------- ----------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- --------- --------- If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- Your relationship to such member firm or person: ------ ----- -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :___ _____________________________________________________ _____________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------______________________________________________________________ ______________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- -------------------------------------------------------------------- -------------------------------------------------------------------- Your relationship to such member firm or person: ------ -------------------- -------------------------------------------------------------------- --------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes _________ No -------- -------- _________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :__________________ ____________________________________________________________________ ____________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:___________ __________________________________________________________________________ __________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :___________ _____________________________________________________________ _____________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:_____________ _____________________________________________________________ _____________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- ----------------- ------------------------------------------------------------------- ------------------------------------------------------------------- Your relationship to such member firm or person: ------ -------------------------------------------------------------------- ------------------------------------------------------------------------------------- ------------------------------------------------------------------- -------------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes No -------- -------- Yes______ No______ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- ____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------______________________ _______________________________________________________________________ _______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- ----------------------------------------------------------------- ----------------------------------------------------------------- Your relationship to such member firm or person: ------ -------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :____________ ______________________________________________________________ ______________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:______________ ______________________________________________________________ ______________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :_______________________ _________________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:_________________________ _________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- __________________________________________________ __________________________________________________ __________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------__________________________________________________ __________________________________________________ __________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :_______________ _________________________________________________________________ _________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:______________ ______________________________________________________________________ ______________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- ___________ ______________________________________________________________ ______________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------_____________ ______________________________________________________________ ______________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :____________ ________________________________________________________________________________ ________________________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:______________ ________________________________________________________________________________ ________________________________________________________________________________

NASD AFFILIATION. The undersigned is affiliated or associated, directly or indirectly, with a National Association of Securities Dealers, Inc. ("NASD") member firm or person. Yes ________ No -------- -------- ________ If yes, list the affiliated member firm or person: ------------ -------------------------------------------------------------- -------------------------------------------------------------- :_____________________ _______________________________________________________________________ _______________________________________________________________________ Your relationship to such member firm or person: ------ -------------------------------------------------------------------- --------------------------------------------------------------------:_______________________ _______________________________________________________________________ _______________________________________________________________________