You warrant the truth of
the above information. You hereby authorize Us, Our employees and
agents to investigate and verify any information provided to Us by You. If You are issued a credit card, ATM card or debit card,
by signing below, You grant and consent to a lien on Your shares with
Us (except IRA and Keogh accounts) and any dividends due or to become
due to You from Us to the extent You owe on any unpaid credit card
balance or Line of Credit balance created through the use of Your ATM
card or debit card.
|