FXCM Consent Form Please complete the form below If you would like to maintain an FX trading account with FXCM Australia Pty. Limited ("FXCM AU") after your account is assigned to FXCM AU please complete the form below. The agreements below will govern your relationship with FXCM AU after your account is assigned. First Name * Last Name * Email address on file * JOINT ACCOUNT INFORMATION Joint Account Holder's First Name Joint Account Holder's Last Name Joint Account Holder's Email Please acknowledge your agreement and understanding of the Customer Agreement and each of the specific disclosures contained therein and set forth below by selecting yes next to each disclosure title.Please agree to the statement(s) belowTerms of businessI have read and understand the financial services guideI have read and understand the product disclosure statementI have read and understand the execution risks Consent to electronic signature * I hereby represent that the information provided by me on the customer information section of this online form is true and correct. * By submitting below, I acknowledge that this is a legally binding contractual agreement. I have read it carefully, and by submitting this agreement application, I agree to be bound by every term and condition, including the items listed above. No modification of this Agreement is valid unless accepted by FXCM in writing. I confirm that I have downloaded a full set of account documents from your website and I have not made any alterations or deletions to this agreement or any such documents from the original forms posted on the website. In the event that there are any alterations or deletions to this agreement or any such documents such alteration and deletions shall not be binding on you and said original forms shall govern Trader account relationship with FXCM. FXCM will use data collected for the purposes of providing service, contacting, and sending you important information. To find out more, please visit our Privacy Policy. Submit Thank you Your information has been received and will be processed shortly. Thank You Your message is received but we are currently down for scheduled maintenance. A specialist will contact you soon.
