SEVERABILITY: If any term of this Agree- The Client acknowledges receipl of D isclosure Report

ment is construed as invalid or unenforceable, the re-
mainder of this Agreement shall not be affected by
such determinati on and the remaining terms of this
Agreement will be valid and enforceable to the full ex-
tent of the law.
GOVERNING LA W: This Agreement is
governed by and construed in accordance with the
laws of the State of Connecticut now in effect or as
from lime to time amended. unless Connecticut law is
pre-empted by Federal laws then in effect.
in lieu of Part II of SEC Form ADV.
The designated Introducer or Service Associate. if
any, will be paid a fee by the Advisor. There is no ad-
ditional cost to the Client due to this arrangement .
Current Fee Schedule attached as Exhibit _
Investment Policy Statement attached as Exhibit
Client Information or Supplemental In formation
attached as Exhibit _

Address for AJI Communications : Social Security or Federal ill :

/3 - ~ f) g 6()j3

l-ull Tille of Account: - J

C 0 8 IT I1-rl r-f, U I T'-( PUr( ~
Telephone _

Names & T it les of Those Signing Agreement

(Please Print)

(I) Name _
Tille _

(2) Name _
T itl c _

(3) Name _
SignaIUC'C
Title _

(4) Name _ _ .:....- _

Sign:uurc
Tille _

Introducer or Service Associate

for this Account :

Custodian _ Date 12../I&/9f? '

960SOBGLE RIS A

00200 .'1