EFTA01448573.pdf

DB InSight Account Set Up Form (Use one form per user) All four sections of this form must be completed before access can be granted to DB InSight. After completing this form, please submit along with the other required signed documents to the DB InSight Help Desk : Mall Stop JCY03-0799. T 1. Ciento her Information: (MANDATORY) Client First and Last Name (as it appears on other legal documents): Southern Financial LLC User's First and Last Name (person gaining access to the system) Users Address: (no P O. Box • Insight kit is sent via FedEx) 6100 Red Hook Quarter B3 St Thomas Not applicable 00802 Users Phone Number: (important for FedEx delivery) Users E-mail Address: Verification Hint: (Password Reminder) 2. C.omputer.Inftirmationdoptionaft Brand and Model of computer (IBM Aptiva, Compaq Presario, Dell Dimension, Apple Powerbook): Brand and Model of processor (Intel Pentium, Motorola 63): Operating System (Windows 3_1, 95, 98, NI; Mac OS 7, 8): System Memory (RAM) In Megabytes (16MB. 32MB. 64MB): Internet service through (AOL. AT&T. Internal network. EAU): Type/Speed of connection (56K. Ethernet, ISDN. DSL. Cable): (minimum 56K required) Microsoft Internet Explorer (version 5.5, SP2) NA0S0D00014164-00009882o CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0103644 CONFIDENTIAL SDNY_GM_00249828 EFTA01448573