Business Client Information

Legal Business Name

Doing Business As (if applicable)

Description of Business

Business Structure

Sole Proprietorship

Partnership

Corporation

Address

City

Province

Postal Code

Phone

Fax

Authorized Representative 1 Information

Title

Mr.

Mrs.

Ms.

First Name

E-Mail

Last Name

Title/Position/Occupation

Date of Birth

Director

Yes

No

Ownership (if 25% and above)

Address

City

Province

Postal Code

Phone

Services required from Mesghal Exchange (check box)

Buying foreign currency from Mesghal Exchange

Selling foreign currency to Mesghal Exchange

Sending (outgoing) remittances thru Mesghal Exchange

Receiving (incoming) remittances thru Mesghal Exchange

Describe below the intended purpose (reason) for your transactions with Mesghal Exchange

purpose of money transfer

Signature

Print Full Name

Date * (mm/dd/yyyy)

Send

Agrinatural Canada Inc. (doing business as Mesghal Exchange)

Business Client Services Agreement

Address :

Mail Info

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CLIENT-BUSINESS AGREEMENT

Agrinatural Canada Inc. (doing business as Mesghal Exchange)

Business Client Services Agreement

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