APPLICATION FOR ISDA SUBSCRIBER MEMBERSHIP
 
1. Name of applicant organization:
2. Name and title of primary contact for organization:
Telephone: Facsimile Number:
E-mail: Website Address:
  Address: City:
State: Postal Code: Country:
 
3. Name and title of legal opinion contact for organization
Telephone: Facsimile Number:
E-mail: Website Address:
  Address: City:
State: Postal Code: Country:
     
4. Name, title and address of additional person(s) to whom ISDA communications should be sent:
Asia:
Telephone: Facsimile Number:
E-mail:
 
Address: City:
State: Postal Code: Country:
     
Europe:
Telephone: Facsimile Number:
E-mail:
 
  Address: City:
State: Postal Code: Country:
   
North America:
Telephone: Facsimile Number:
E-mail:
 
Address: City:
State: Postal Code: Country:
   
5.

Type of organization or of applicant’s principal affiliate:
6. Legal form of applicant organization:
Corporation Partnership
Other (please specify):
7. Year in which organized:
Number of years in swap business:
8.
Has applicant, or any of its officers, directors, partners or managers ever been censured, expelled or suspended, by any regulatory body, securities exchange or any other association of securities dealers or brokers? Yes No
   
MEMBERSHIP AGREEMENT

The undersigned hereby applies for Subscriber Membership in the International Swaps and Derivatives Association, Inc., and if admitted to Subscriber Membership agrees:

(i)
to comply with the terms of the Certificate of Incorporation, the By-laws and such rules and regulations as may be promulgated from time to time by the Association’s Board of Directors; and
(ii)
to pay such dues, assessments and other charges in the manner and amount as shall from time to time be fixed by the Board of Directors pursuant to the By-laws.

I/We hereby certify that the statements made herein are true and complete.  I/We understand that if false information is given in this application or there are omissions of material facts, admission to Subscriber Membership in the International Swaps and Derivatives Association, Inc., will automatically be denied and that if such admission has been previously granted, such false information will be ground for expulsion.

Applicant Dated  
 
 

By Name & Title


Please complete this application and return it to the ISDA New York office via facsimile at (1) (212) 901-6007.

 

 

® ISDA is a registered trademark of the International Swaps and Derivatives Association, Inc.