Name Of Company

We expect to be a participant in the eGAINS system starting on launch day: September 1, 2008
- yes no un-sure at this time


The top 10 counterparties we would like to see on eGAINS on the start date (please do not include supporting FCMs: Bear, Barclays, Citi, Credit Suisse, DB, Goldman, JPM, Lehman, Merrill, Morgan Stanley, RBS, UBS, Newedge, MF Global and HSBC):

Please indicate the method you will use to get rate information into eGAINS:

Via EGUS electronic rate schedules exclusively
Via manual entry into EGAINS exclusively
Via both EGUS and eGAINS
Undecided

Name and address of bank (we will ask for account specific information at a later date):
Name

Address 1

Address 2

Country City State Postal Code

Key eGAINS contact:

Name

Email Adress

Phone Number

Additional Comments?