Organization:

Contact Name:

Address:

City:

Province / State:

Country:

Postal Code:

E-mail:

Telephone:

Fax:

Is your firm an Investment broker or dealer?

Yes    No

How many staff members are in your organization and related operations?

What other exchanges or markets is your organization active in?

What credit types are you most interested in trading? (AAU, ERU, CER, RMU)

Is your firm interested in Spot, Forward or Futures Trading? In which credits?

In what time frame is your organization interested in becoming a Prime Dealer on the GHGx Exchange?

Will your organization be taking principal positions or conducting agency activities? What volumes (value or credits) do you expect in the first 3, 6 or 12 months?

Credit ratings and other information is required of all GHGx Prime Dealers. Who would be your contact person for this information? (email, telephone, fax and address)