NFA DIRECTORY ORDER FORM

Date of Order: To order a directory, please print and complete this order form including your name, address and a telephone number where you can be reached in the event we have a question concerning your order. If you are ordering a directory to be sent electronically, include your e-mail address: NAME: COMPANY (if applicable): ADDRESS:

CITY, STATE, ZIP: COUNTRY (if other than U.S.): E-MAIL ADDRESS (if directory to be sent via e-mail): PHONE NUMBER: SPECIAL INSTRUCTIONS (if any):

Please select from the list below the directories you desire (if ordering more than one of the same directory, indicate number of directories in the space provided). The electronic version of the directories is formatted in a text comma-delimited format and can be opened using a wide variety of computer software applications like Excel. Directory CFTC Registrants Geographic Commodity Pool Operator (CPO) Commodity Trading Advisor (CTA) CTA & CPO Futures Commission Merchant (FCM) Introducing Broker (IB) FCMs w/Guaranteed IBs IBs w/FCM Guarantor NFA Membership Total dollar amount for all directories selected: Please send this order form along with a check or money order (DO NOT MAIL CASH), payable to National Futures Association. Mail your request to: Business Systems Group National Futures Association 300 South Riverside Plaza, Suite 1800 Chicago, Illinois 60606-6615 If you are an NFA Member with a pre-paid account, you may fax this order form to (312) 559-3537, along with an authorization to deduct the cost of your order from your pre-paid account. NFA's Information Center is available Monday through Friday from 8:00 a.m. to 5:00 p.m. CST to answer your questions about the directories. Call (312) 781-1410 or toll-free at (800) 621-3570. Electronic $25 $25 $15 $15 $25 $15 $15 $25 $25 $15 Print $50 $50 $30 $30 $50 $30 $30 $50 $50 $30 CD E-Mail Printed