First Name

Last Name

Email

Company

CBL Participant Account Code (If Known)

Website

Phone

Address (Line 1)

Address (Line 2)

City

State

Territory

Post Code

Comments

By clicking ’Submit,’ the Auction Participant affirms:

• It is in compliance with the representations included in Market Rule 2.2 and the ongoing compliance obligations in Market Rule 3.1 on the date hereof, and will be in compliance with such representations and obligations on the day of the Auction.
• It is an existing CBL Participant eligible to trade the applicable Products in the Auction and has an existing account in the applicable Registry.
• The person completing this form on behalf of Auction Participant is properly authorized to do so and is the Designated Authorized Representative of Auction Participant.
• The agreements and acknowledges contained in Auction Participant’s Participant Application are true and correct as of the date hereof.