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Embed code for: DF_DOD_2016 (3) (2) (1)
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Declaration of Deposit DALTON FINANCE 2016 I, _____________________________ acknowledge that I am a registered account holder with the Company stated on this document and regarding the deposit(s) listed below, I acknowledge the following: 1. I recognize that this signed document is a legally binding contract. _________ 2. I declare that I am not a minor and of at least 18 years old, as legally required. _________ 3. I have read, understood, and agree to the Company's Terms and Conditions*, including: a. I am aware that I must provide all KYC documentation as required. _________ b. I am aware of all services and packages offered and available through Dalton Finance. _________ c. I understand the steps and procedures regarding the withdrawal process. _________ d. I understand the functionality and requirements of the optional trading bonus. _________ *Initial on each line above. 4. I acknowledge that I knowingly and willingly authorize the following transactions with the Company, as listed on this document, order to use their offered services, as stated on the Site. 5. I fully agree with the Site's Terms & Conditions and have not been solicited in any way by the Company, their staff or any related third party representatives. 6. I am fully and solely responsible for all payments made from my credit and/or debit card(s) as listed below. I am fully aware of the potential risks involved in using the services provided to me by the Company and I take full responsibility for all actions and outcomes on my registered trading account. Type of Card Last 4 Digits Deposit Date (GMT) Amount Signature Full Name: ______________________________ Account ID: ______________________________ Signature: ______________________________ Today’s Date: ______________________________: