Neuro Forex - Managed Account Request Form

Managed Account 60 Day Trial Request Form

Managed accounts at Neuro Forex are by invitation only. You must qualify based on investment experience. Our systems trade like no other and are intended for people who are truly serious about making money. We run three shifts a day, employ the most advanced computer technology and endure the market gyrations solely in the interest of increasing your account balance. To be blunt, this kind of investment takes guts (intestinal fortitude) and trust in the guardians of your account. If you feel that you are a great trader but simply lack the time to manage your own account then Neuro Forex is probably not a good candidate for you. On the other hand, if you have repeatedly lost money and are ready to try something radically different than techniques described in any books, seminars or training then there may be a place in your portfolio for our unique service. We ask all prospective clients interested in a managed account to complete a 60 day trial with only the minimum funding. You may select longer periods with greater capital on subsequent contracts. This form is intended to collect the information necessary to create the legal documents required to trade your account. The formal documents are in PDF format which we will email to you. Please sign the forms then fax them back to us and your done. Red tape. We hate it too! Please be sure to add support@neuroforex.com to your email contact list otherwise our response may end up in your bulk folder. If you have any questions about this form and would like to speak with us directly please see our contact page for our hours of operation and telephone numbers. We will be happy to answer questions regarding this form or any of our products.

Unique Experiences and past performances do not guarantee future results! Trading Stocks, Futures, Options and Spot Currencies involve substantial risk and there is always the potential for loss. Your trading results may vary. Because the risk factor is high trading the Foreign Exchange Market, only genuine "risk" capital should be used in such trading. If you do not have extra money that you can afford to lose then you should not trade in the Foreign Exchange Market (FOREX). No "safe" trading system has ever been devised and no one can guarantee profits or freedom from loss.

Please Enter Your Account Information

*Brokerage Name:

*Account Type:

*Account Number:

Capital Amount:

$5,000 (Five Thousand Dollars)

Trial Period:

60 Days starting on the first trade

Profit Limit:

10% (Ten percent of $5,000 = $500)

Please Enter Your Contact Information Below:

*First Name:

*Last Name:

Company (if applicable):

*Mailing Address:

*City:

*State:

*Country:

*Zip Code:

*Phone:

Fax:

*Email Address:

*Please Describe Your Experience Trading Commodities or Securities:

(include number of years trading FOREX or currency futures)

Brokerages Which We Support
The list of brokerages which you may select from on this form is admittedly short and there is a reason for that. Not all brokerages are created equal. There are some which we feel are less than scrupulous and others which are licensed crooks (our opinion)! Currency prices are in constant flux and one's ability to make money in the market (any market) has everything to do with the price you paid versus the price at which you sold. The spot price, at any given time, quoted on the actual Interbank System may be very different from the price which you see displayed on the brokerage platform. Often, dissimilarities such as this are attributed to heavy internet traffic which mysteriously seems to occur about the time your trade starts to make money. The FOREX market is still the land of cowboys and indians and so it will be sometime before governments or industry regulation brings certain "practices" inline with more established financial markets. In the mean time its best to shop around and that is what we have done. The brokerages listed we feel are trustworthy and have the clients interest in mind. Neuro Forex is NOT compensated for any trades made through the brokerages we support. If you do not already have an account with any of these brokerages then you may visit them on the web through the following links:

www.cms-forex.com Capital Market Services. This company was founded in 1999 and has several thousand customers world wide. Rated as one of the fastest growing financial services companies in the United States. They have a huge software investment in their proprietary trading platform which offers a unique way to trade right from the chart in addition to numerous preprogrammed technical indicators. They have tight pip spreads and offer generous interest bearing accounts. Their software supports fractional unit sizes which is required for the 60 day trial account. A free demo account can be obtained from their web site in minutes.

www.mgforex.com MG Financial Group. This company was founded in 1992 and offers its own proprietary trading platform which includes charts, execution and research tools. They have a team of highly qualified analysts which are often interviewed on financial news networks. They offer a margin accounts with leverage up to 400:1 (four hundred to one). Their software supports fractional unit sizes which is required for the 60 day trial account. Very responsive to customer requests. A free demo account can be obtained from their web site and a live accounts within 24 hours. This is one of the most prestigious FOREX brokerages in the world.

Privacy Policy
The information collected on this form is never sold, distributed or shared with any other organization, person or entity. Your information is not stored on servers which are connected to the internet or any public exchange system. We value the privacy of all Neuro Forex customers and promise to safeguard this information to the fullest. Neuro Forex is a financial institution regulated by United States agencies and are required by law to collect information which can be used to verify identity, residence and certification. The information you provide here will be used to create legal documents when and if you decide to open a live account. If you choose not to open a live account, for any reason, we will not contact you further including by email and you will not become part of any mailing lists.

U.S. Government Required Disclaimer
Commodity Futures Trading Commission (CFTC). FOREX, Futures and Options Trading have large potential rewards buy also large potential risk. You must be aware of the risks and be willing to accept them in order to invest in the FOREX, Futures and Options Markets. Don't trade with money you can't afford to lose. This web site is neither a solicitation for, nor an offer to Buy/Sell Futures or Options. No representation is being made that any account will or is likely to achieve profits or losses similar to those discussed on this web site. The past performance of any trading system or methodology is not necessarily indicative of future results.