By checking this box and by typing my/our signature(s) below and forwarding this application form to Brooks & Hathaway Partners via the Internet, I/we acknowledge, understand and agree to the Disclosure Agreement as set forth above and verify that all information submitted in this application to be true and correct. Further, I/we understand and agree that my/our electronic signature(s) is/are the equivalent of a manual signature and that Brooks & Hathaway Partners may rely upon it/them as such.