Metex Investments Inc.
Vlad Svac, vice-president
352, rue Meloche, Montreal, P.Q. H4N 1A6, Canada
Tel. (514) 337-2620 Fax (514) 337-7435
E-mail: info@metexinvest.com
Web site address: www.metexinvest.com

APPLICATION FORM FOR FREE DEMO:

First Name: ___________________________________________

Last Name: ___________________________________________

Street Address:________________________________________

City: ________________________________________________

State / Province:_______________________________________

Zip / Postal
Code:_________________________________________________

Country: ______________________________________________

Phone: ________________________________________________

Email: ________________________________________________

Where did you
hear about us? _________________________________________

Please complete and return, along with completed account forms,
to Metex via fax at 514-337-7435 or by e-mail.