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: __________________________________________________ __________________________________________________ _____________________________________________________________ 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: __________________________________________________ __________________________________________________ ____________________________________________________________________ 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:__________ __________________________________________________ __________________________________________________ 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: __________________________________________________ __________________________________________________ _______________________________________________________________________ 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: __________________________________________________ __________________________________________________ _________________________________________________________________ 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: __________________________________________________ __________________________________________________ ______________________________________________________________ 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 __Yes______ No __No______ If yes, list the affiliated member firm or person: __________________________________________________ __________________________________________________ __________________________________________________ Your relationship to such 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: __________________________________________________ __________________________________________________ ________________________________________________________________________________ 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: __________________________________________________ __________________________________________________ ______________________________________________________________ Your relationship to such member firm or person:______________ ______________________________________________________________ ______________________________________________________________