| |
Use this form only if funds are NOT being transferred from a commercial bank.
For credit to a customer's trading account, please note that MG Financial LLC only accepts funds that arrive by wire transfer or check drawn on the account holder(s) account at a regulated entity or other authorized financial institution of the type enumerated** under the Commodity Exchange Act.
Should an account holder(s) choose to fund an account from one of these regulated entities, MG Financial LLC must first receive proper authorization from that entity.
|
| |
| FUNDS TO: |
| |
| Name of Account Holder: |
 |
| |
| MG Live Forex Trading Account ID#: |
|
| |
| Account Holder's Phone Number: |
|
| |
| Email Address: |
|
| |
| Amount of Transfer: |
|
| |
|
I, the undersigned, hereby authorize the Regulated Entity or other authorized financial institution listed below to transfer funds from the account held under my/our name(s) into my/our Live Forex Trading Account held at MG Financial LLC.
|
| |
| Signature of Account Holder(s):
Date:
|
|
| |
| FUNDS FROM: |
| |
| Name of Entity who carries the Account Holder's Funds: |
|
| |
| Entity is Registered with: (SEC, CFTC, NFA, or other) Please Specify: |
|
| |
| Registration Identification Number: |
|
| |
| Officer or Contact Person & Title: |
|
| |
| Phone Number of Contact Person: |
|
| |
|
I, the undersigned, hereby confirm that the Account Holder(s) mentioned above has an account(s) with _________________________________ and we agree at customer's request to transfer funds into the Account Holder(s)' Account at MG Financial LLC.
|
| |
| Signature of Officer at this Entity:
Date:
|
|
| |
**Authorized Financial Institutions enumerated under the Commodity Exchange Act include registered Futures Commissions Merchants (FCMs), certain associated persons of registered FCMs, financial institutions, registered broker-dealers, and associated persons of registered broker-dealers, insurance companies or affiliates thereof, financial holding companies, and investment bank holding companies.
Introducing Brokers, Money Managers, and Commodity Pool Operators are not considered regulated entities and will not be permitted to transfer funds into the Account Holder's account at MG Financial LLC.
Note that information sent to MG is designated as confidential for listed recipient(s). If you are not the intended recipient of this message you are hereby notified that any review, dissemination, distribution or copying of this message is strictly prohibited. This communication is for information purposes only and should not be regarded as an offer to sell or as a solicitation of an offer to buy any financial product, an official confirmation of any transaction, or as an official statement of MG Financial LLC.
|
