EFTA01448542.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 JCV03-0799. Tel: (800) 221-2922, Fax (201) 8604546 1. Client0 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 del Users E-mail Address: Verification Hint: (Password Reminder) 2. C.omputer.Infermationa0gtionaft 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) IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII NA0S0D00014164-00009882o CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0103599 CONFIDENTIAL SDNY_GM_00249783 EFTA01448542