Solicitar Membresía

//Solicitar Membresía
Solicitar Membresía2018-07-13T11:03:11+00:00

If you wish to download this form and fill it out by hand, please download the PDF Form and Email it to

Legal Information

Is the firm currently licensed or regulated in any jurisdiction?


General Information

Dealing Information

Does the firm outsource their dealing desk?

Does your company store tick data?

Dispute Resolution

Has your company ever had any previous disciplinary actions from a regulator or legal entity?

Has your company been previously registered with a regulatory entity and is no longer regulated?

Company Contact for future communications with Broker-status

Broker-status asks that you please supply the following documentation along with your application:

  • Company certificate of incorporation
  • Photo identification for all owners/principals of the company (More than 10% Owners)
  • Current copy of Customer Agreement form

Please send all documentation to:

Signature By signing this document you agree that you have completely reviewed all information and attest to the best of your knowledge that the information you have provided on Broker-status Membership Application is 100% accurate and has not been falsified in any way.