MT4 MetaTrader4 Live Account Application Getting an MT4 live trading account is as simple as filling in the form below! Terminal Velocity Latitude GT MT-4 Which best describes you?* Individual Company Trust Company InformationTrust Information Company NameTrust Name * Company NumberTrust Number * Contact Information First Name * Last Name * Email Address * Phone * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Address Country * * New Zealand Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-bissau Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Province * * * select one Auckland Bay of Plenty Canterbury Chatham Islands* Hawke's Bay Manawatu-Wanganui Marlborough Nelson Northland Otago Southland Taranaki Tasman Waikato Wellington West Coast select one Western Australia Northern Territory South Australia Queensland New South Wales Victoria select one Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Unit Number Street Number * Street Name * Street Type * select one Alley Avenue Boulevard Court Crescent Drive Esplanade Lane Mews Place Ridge Road Street Terrace Way Access Amble Anchorage Approach Arcade Artery Alleyway Basin Beach Block Bend Bank Bypass Brace Brae Bridge Break Brow Bowl Broadway Byway Circuit Cul-de-sac Chase Circle Close Colonnade Circlet Common Concourse Corner Copse Circus Crossroad Court Crossway Crossing Corso Cruiseway Court Centre Centreway Cutting Cove Causeway Courtyard Dale Dell Dip Driveway Distributor Deviation Edge Elbow End Entrance Estate Expressway Extension Fairway Flat Follow Formation Frontage Front Foreshore Fire Track Firetrail Footway Freeway Gap Garden Gardens Glade Glen Gully Grange Ground Green Gate Gates Grove Hill Highroad Heights Highway Interchange Intersection Junction Key Landing Lees Line Link Lookout Lower Loop Little Laneway Mall Meander Mew Mile Mount Motorway Nook Outlook Parade Parklands Pocket Parkway Plaza Point Pier Park Promenade Part Pass Port Path Plateau Parkway Piazza Quadrant Quadrangle Quad Quay Quays Ramble Rosebowl Reach Ronde Roads Ridgeway Roadway Reserve Range Rise Ride Ramp Round Ring Row Roadside Rest Retreat Route Right of Way Rotary Rue Run Riviera River Riverway Siding State Highway Slope Sound Spur Square Stairs Strip Steps Street Streets Service Way Thoroughfare Trunkway Top Tor Track Triangle Trail Tarnice Way Trailer Turn Towers Tollway Underpass Upper Vale Viaduct Villa Vista View Wade Wharf Walk Walkway Wynd Yard Suburb * Postcode * Street Address * * City * Post Code * Security Question & Answer For security purposes, when you call us with an inquiry about your account, we will ask you a question to verify that you are the account holder. Please provide an answer to one of the following questions: Question * select one Maiden name of your mother Name of your pet Your favourite sport Your high school Your favourite band Answer * Trading Account Details Please choose the currency in which you would like to operate your trading account. Currency * US Dollars (USD) Euros (EUR) Pounds Sterling (GBP) Japanese Yen (JPY) Swiss Francs (CHF) Canadian Dollars (CAD) Australian Dollars (AUD) New Zealand Dollars (NZD) Hong Kong Dollars (HKD) South African Rand (ZAR) Singapore Dollars (SGD) Swedish Krona (SEK) Danish Kroner (DKK) Norwegian Krone (NOK) How would you classify your trading experience? * Professional Experienced Beginner Tax Details ONLY FOR NEW ZEALAND RESIDENTS. Please provide your IRD number and select the rate in which you would like your earnings to be taxed at. If you choose not to complete this section we are required to deduct Withholding Tax from any interest you earn on your trading account at the default rate of 39%. IRD Number * Election Rate * 0% (Exemption Certificate Required) 19.5% 33% 39% Destination for Withdrawals This is the account we will transfer your money to when you make a withdrawal from your Velocity Trade trading account. The account you nominate here must be in your name. Our prudential standards preclude transfers to third party accounts. This account information can be provided at the time of the withdrawal; however this may prolong the process and delay funds from being sent to your account. Account Name (Your Name) * Bank Account Number * Swift Code * Bank Code, Sort Code or Routing Code * Bank Name * Bank Address * Primary Dealing Contact Title * Surname * Given Name * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Gender * select one Female Male Address * Address 2 * Email Address * Phone * Mobile * Position * Authorised Person 2 Title * Surname * Given Name * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Gender * select one Female Male Address * Address 2 * Email Address * Phone * Mobile * Position * Authorised Person 3 Title * Surname * Given Name * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Gender * select one Female Male Address * Address 2 * Email Address * Phone * Mobile * Position * Director/Authorised Signatory 1 DetailsTrustee/Authorised Signatory 1 Details Title * Surname * Given Name * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Gender * select one Female Male Address * Address 2 * Email Address * Mobile * Phone * Position * Director/Authorised Signatory 2 DetailsTrustee/Authorised Signatory 2 Details Title * Surname * Given Name * Date of Birth * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Gender * select one Female Male Address * Address 2 * Email Address * Mobile * Phone * Position * Shareholders Shareholder 1 Name * Shareholder 1 Holding * Shareholder 2 Name * Shareholder 2 Holding * Shareholder 3 Name * Shareholder 3 Holding * Shareholder 4 Name * Shareholder 4 Holding * Confirmation Where did you hear about us? * select one Radio, then Googled Velocity Trade Radio, then went to Velocity Trade website Friend/Referral Introducing Broker Kumeu Car Show Trade Show/Conference Google search Yahoo search Bing search TVNZ.co.nz Interest.co.nz Sharechat.co.nz 100ForexBrokers.com ForexBrokerGuide.com Other Please State * * I understand that margin FX and CFDs are traded with leverage that can result in both significant gains and significant losses that are substantially more than my initial investment and any margin payments. I agree to trade only with money I can afford to lose. * I have read, understood and agree to the terms and conditions in the combined Product Disclosure Statement (PDS), Financial Services Guide (FSG) document, and in the Client Agreement. * I agree to allow Velocity Trade to contact me by email in relation to other Velocity Trade products and research.
For security purposes, when you call us with an inquiry about your account, we will ask you a question to verify that you are the account holder. Please provide an answer to one of the following questions:
ONLY FOR NEW ZEALAND RESIDENTS.
Please provide your IRD number and select the rate in which you would like your earnings to be taxed at. If you choose not to complete this section we are required to deduct Withholding Tax from any interest you earn on your trading account at the default rate of 39%.
This is the account we will transfer your money to when you make a withdrawal from your Velocity Trade trading account. The account you nominate here must be in your name. Our prudential standards preclude transfers to third party accounts. This account information can be provided at the time of the withdrawal; however this may prolong the process and delay funds from being sent to your account.
I understand that margin FX and CFDs are traded with leverage that can result in both significant gains and significant losses that are substantially more than my initial investment and any margin payments. I agree to trade only with money I can afford to lose.
I have read, understood and agree to the terms and conditions in the combined Product Disclosure Statement (PDS), Financial Services Guide (FSG) document, and in the Client Agreement.
I agree to allow Velocity Trade to contact me by email in relation to other Velocity Trade products and research.