FAIRSOnline Order Forms

Please complete these forms and return to FAIRSOnline at FAIRS plc, City House, City Road, Newcastle upon Tyne NE1 2AF.

    FAIRSOnline Order Form

Client Name:

Contact:

Phone No:

Email:

This order form advises FAIRS that the above named client:

  1. Intends to use the FAIRSOnline service.
  2. Understands that they will not be charged for the first month's usage.
  3. Understands that the first logon following the first month free usage will commit the client to a twelve-month thence six months rolling contract of usage at the monthly rate specified below.
  4. Understands that monthly charge will be £150 + VAT for a single user FAIRS system plus £25 + VAT for each additional FAIRS user licence on the system.
  5. Is responsible for ensuring that the above named client has a modem and an Internet connection.

Name:

Signed ______________________

 

Name:

FAIRSOnline Auth: ________________

 

 

 

 

 

 

    EMX Certification

Please note you may be requested to fill in other such forms for other Providers representatives.

    Intermediary using FAIRSOnline

With regard to Data Protection legislation, may we please draw your attention to the fact that information you supply in answer to questions marked with an asterisk (*Standing Data) will be published as part of the Standing Data available for viewing on the EMX system. Information supplied in response to any other questions will be used for EMX internal records only.

It is advised that you keep a copy of your application form for future reference.

1. Please state your Company Name. (*Standing Data)

Please specify the full name of the company using no more than 150 characters. For limited companies this is the name that appears on company registers and on your Certificate of Incorporation (which is the name that must also be inserted into the Membership Agreement and into the EMX system). You must provide a copy of the company's most recent Certificate of Incorporation certified by either Companies House or the Company Secretary (or the equivalent officer).

 

2. Please state your Company trading name. (*Standing Data)

You must specify an abbreviated form of the membership name as you want it to appear in EMX using no more than 18 characters. This name must reflect the member's full name.

3. a) Company Business Address (Head Office/main trading address).

Address 1

 

Address 2

 

Town

 

County

 

Post Code

 

 

 

 

b) Company Registered Office (if different from a) above).

Please specify the full address of the company as it will appear on company registers.

Address 1

 

Address 2

 

Town

 

County

 

Post Code

 

 

 

 

4. Please signify the intermediary type of your company. (*Standing Data)

Please indicate by ticking in the boxes below.

S = Stockbroker

 

I = IFA

 

C = Consolidator

 

T = Tied Sales Force

 

L = Solicitor/Accountant

 

O = Institution

 

U = Custodian

 

N = Network member

 

F = Fund Supermarket

 

D = Direct Sales Force

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Please provide the following contact details for the first point of contact for the market on EMX matters.:

Primary Contact Details this contact will be the person who will be the point of enquiry for other EMX participants.

Name:

 

Postal Address:

 

Telephone No:

 

 

Fax No:

 

 

E-mail Address:

 

 

 

 

Post Code:

 

 

6. Please specify your company Website Address. (*Standing Data)

 

7. Has your company been authorised to hold client money at the time of this application? (*Standing Data)

Yes

 

No

 

 

 

 

 

8. Please give your default CREST participant Identification if applicable. (*Standing Data)

 

 

9. Please give your SIB number. (*Standing Data)

 

 

 

10. Your company will be allocated with a five character Unique EMX Identifier and this will be entered into your Membership Agreement for you. If however you prefer to choose your own Participant ID, which must still be no more than five characters in any alpha numeric form, then please state in the boxes below: (*Standing Data)

If you do choose your own Participant ID, EMX Co will endeavour to use this as long as it is not misleading in any way.

 

 

 

 

 

11. Please state the name of your nominated consolidator. FAIRS plc

12. Please state if you are intending to access the EMX system directly through the web browser, or through software provided by Fairs.

Signatories

Any future written instructions from you should be signed by one of the authorised signatories on this form.

Please note, this information will be used to check authorised signatories on any future requests made in relation to your membership. The second authorised signatory is not mandatory but you may need it for your internal procedures.

Applicant Signature            _________________________________

Applicant Name                  _________________________________

Applicant Position               _________________________________

Date                                     _________________________________

Authorisation Signature(i)   _________________________________

(Director) Authorisation Name   _________________________________

Position                                _________________________________

Date                                     _________________________________

Authorisation Signature (ii)   _________________________________

(Director) Authorisation Name   _________________________________

Position                                _________________________________

Date                                     _________________________________

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