By submitting this Form, I authorize Take5 Financial Group and its Affiliates to use any information provided above for the following purposes: to administer my subscription,
to customize advertising sent to me, to fulfill my requests for products and services ordered by me, to improve Take5 Financial Group services to me, and to conduct
market research based on anonymized data and report to the internal and external clients, affiliates or related companies and/or partners of Take5 Financial Group
(the "Affiliates") and to disclose the provided information in connection with the transfer by Take5 Financial Group of any of its business to any successor.
I authorize TAKE5 FINANCIAL GROUP, its partners and the Affiliates to use the information provided above to: inform and contact me by Email and other methods about
other TAKE5 FINANCIAL GROUP and/or the Affiliates' programs such as promotional offerings, new products and new services and to send newsletters and announcements.
I hereby confirm that the foregoing information is true and correct. I further agree and acknowledge that TAKE5 FINANCIAL GROUP is under no obligation to accept my application, and has the absolute right to deny the same its sole determination upon acceptance by TAKE5 FINANCIAL GROUP. However, the application shall constitute my agreement to subscribe to the above service in accordance with the terms hereof.