EFTA01360765.pdf

DB InSight Account Set Up Form (Use one form per user) Ali four sections of this form must be completed before access can be granted to DB Insight. Alter completing this form, please submit along with the other required signed documents to the DB InSight Help Desk: Mall Stop JCY03.0799, Tel: (800) 221.2922, Fax (201) 860-4546 1. Client/User Information: MANDATORY' Client First and Last Name (as It appears on other legal documents): •teii: v4 Sholiqk Users First and Last Name (person gaining access to the system) Users Address: (no P.O. Box - Insight kit is sent via FedEx) eve M7 OAS" Users Phone Number (Important for FedEx delivery) Users E-mail Address: Verification Hint: (Password Reminder) 2. Computer Information: (Optional' Brand and Model of computer (IBM Aptiva. Compaq Presario, Dell Dimension. Apple Powerbook): Brand and Model of processor (Intel Pentium, Motorola G3): Operating System (Windows 3.1, 95, 98, NT; Mac OS 7. 8): System Memory (RAM) in Megabytes (16MB, 32M11, 64MB): Internet service through (AOL, AT&T, internal network, EAU): Type/Speed of connection (56K, Ethernet, ISDN, DSL, Cable): (minimum 56IC required) Microsoft Internet Explorer (version 5.5, SP2) NAOSOD00015974-00010861 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0049325 CONFIDENTIAL SDNY_GM_00195509 EFTA01360765