Meridian Commodity Registration Form

---

Registration is required to access the tools and resources at meridiancommodity.com.
Registration is FREE. Your information will not be sold, rented or shared with any company except
Meridian Commodity Corp. and its affiliates.

Please provide the following information for immediate access to meridiancommodity.com.
All fields are required.

First Name:
Last Name:
Address:
City:
State:	Zip Code:
Day Phone:
Evening Phone:
E-mail Address:
If any of the following below applies, please check the appropriate box.
Currently trading?	yes no
Are you a student?	yes no

Which market interests you?	None Grains Energies Currencies Softs Financials Single Stock Futures Meats Metals Import/Export please select one
If you spoke with a account exec., please specify here.	please select one did not speak to anyone Matthew Goodwin Frank Gaudino Sean Stropp Mike Comiskey Carter Wash Tim Foley George Lewis Bob Parker James Burbage Jeff Jacobs Shane Seufert Michael Brahney