Legal Name First Middle Last Preferred NameSocial Security NumberBirthdate MM slash DD slash YYYY Marital StatusSingleMarriedDivorcedSeparatedWidowedHome PhoneWork PhoneMobile PhonePersonal Email Work Email What is your primary email?We may send you important documents and other communications via email. To ensure prompt delivery, we suggest providing a personal email address. If you choose to provide a work email address, we kindly ask that you notify us immediately if there are any changes in your employment status. Personal Email Work Email AddressNo P.O. Boxes Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact Preference Phone Mail Email FaxWhat number should we contact? Home Phone Work Phone Mobile Phone Do you need to add another address? Yes No Other Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands If you need to Employment InformationEmployment StatusEmployedSelf-EmployedRetiredHomemakerStudentNot EmployedOccupation (If you selected "Employed" or "Self-Employed," please select one option that best describes your occupation.) Business Owner/Self-Employed Financial Services/Banking Professional Medical Professional Legal Professional Executive/Senior Management Accounting Professional Information Technology Professional Educator Sales/Marketing Military Clerical/Administrative Services U.S. Government Employee (federal/state/local) Foreign Government Employee (non-U.S.) Trade/Service (labor/manufacturing/production) Consultant Other Professional Other Job Title:Employer Information Name of Employer Employer Address City and State Zip/Postal Code Website Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Citizenship US Citizen Non-US Citizen Birth StateType of CitizenshipCountry of Citizenship:Driver's License StateDriver's License NumberExpiration Date MM slash DD slash YYYY Government ID StateIf your government issued ID is a DL, you will not need to enter the information twice. Government ID NumberGovernment ID Expiration MM slash DD slash YYYY Approximate Net Worth$0 – $24,999$25,000 – $49,999$50,000 – $99,999$100,000 – $249,999$250,000 – $499,999$500,000 – 749,999$750,000 – $999,999$1,000,000 and overAnnual Income $Annual Bonus $Pension $Social Security $Annuity $Additional PersonThis section is available if you need to provide contact information for another individual. Dependent information is asked for in a later section of this form.Do you need to add another person? Yes No Legal Name First MI Last Preferred NameSocial Security NumberBirthdate MM slash DD slash YYYY Marital StatusSingleMarriedDivorcedSeparatedWidowedHome PhoneWork PhoneMobile PhoneEmail Work Email What is your primary email?We may send you important documents and other communications via email. To ensure prompt delivery, we suggest providing a personal email address. If you choose to provide a work email address, we kindly ask that you notify us immediately if there are any changes in your employment status. Personal Email Work Email AddressNo P.O. Boxes Same as previous person Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address Same as previous person Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Contact Preference Phone Mail Email Fax FaxWhat number should we contact? Home Phone Work Phone Mobile Phone Employment InformationEmployment StatusEmployedSelf-EmployedRetiredHomemakerStudentNot EmployedOccupation (If you selected "Employed" or "Self-Employed," please select one option that best describes your occupation.) Business Owner/Self-Employed Financial Services/Banking Professional Medical Professional Legal Professional Executive/Senior Management Accounting Professional Information Technology Professional Educator Sales/Marketing Military Clerical/Administrative Services U.S. Government Employee (federal/state/local) Foreign Government Employee (non-U.S.) Trade/Service (labor/manufacturing/production) Consultant Other Professional Other Job Title:Employer Information Name of Employer Employer Address City and State ZIP/ Postal Code Website Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Citizenship For Second Person US Citizen Non-US Citizen Birth StateType of CitizenshipCountry of Citizenship:Driver's License StateDriver's License NumberExpiration Date MM slash DD slash YYYY Government ID StateIf your government issued ID is a DL, you will not need to enter the information twice. Government ID NumberGovernment ID Expiration MM slash DD slash YYYY Approximate Net Worth$0 – $24,999$25,000 – $49,999$50,000 – $99,999$100,000 – $249,999$250,000 – $499,999$500,000 – 749,999$750,000 – $999,999$1,000,000 and overAnnual Income $Pension $Bonus $Annuity $Social Security $Combined Household Income $Source of Account FundingThis section is applicable to any new client planning to open accounts. Please select multiple sources, if you are opening more than one account. What best describes the ongoing of funding the account you will be opening?What best describes the ongoing of funding the account you will be opening? Employment / Wages Retirement Funds Gift Savings Inheritance / Trust Investment Unemployment / Disability Legal Settlement Lottery / Gambling Spousal / Parental Support Beneficiary InformationIf you would like to provide additional contact information for beneficiaries, or would like to add a trust, you can provide us with that information at a later date. Would you like to enter beneficiary information at this time? Yes No I would like to add a trust as my beneficiary; please have Melinda contact me for the information. Yes Legal Name First MI Last Social Security NumberBirthdateType of Beneficiary Primary Contingent PhoneEmail RelationshipWhat is your relationship to your beneficiary?PercentageWhat percentage of your benefit would you like this beneficiary to receive?Legal Name First MI Last Social Security NumberBirthdateType of Beneficiary Primary Contingent PhoneEmail RelationshipWhat is your relationship to your beneficiary?PercentageWhat percentage of your benefit would you like this beneficiary to receive?Legal Name First MI Last Social Security NumberBirthdateType of Beneficiary Primary Contingent PhoneEmail RelationshipWhat is your relationship to your beneficiary?PercentageWhat percentage of your benefit would you like this beneficiary to receive?Dependent InformationDo you have dependents? Yes No Legal Name First MI Last Preferred NameSocial Security NumberBirthdateLegal Name First MI Last Preferred NameSocial Security NumberBirthdateLegal Name First MI Last Preferred NameSocial Security NumberBirthdateLegal Name First MI Last Preferred NameSocial Security NumberBirthdateFinancial ContactsTo provide you with the best financial planning services, we require a complete overview of your financial life. As such, we ask you to provide us with the necessary contact information of your financial professionals. Please note that this section is for record-keeping purposes only and does not authorize us to contact or share information with these professionals without obtaining your written consent.Do you want to add an estate planning attorney? Yes No Do you need a referral lists of estate planning attorneys? Yes No Name Business Name Contact First Name Contact Last Name Primary Telephone NumberEmail Do you want to add an accountant/CPA? Yes No Do you need a referral list of accountants/CPAs? Yes No Name Business Name Contact First Name Contact Last Name Primary Telephone NumberEmail Trusted ContactWhen managing your finances, it’s crucial to have a support system in place. One way to ensure this is by designating a trusted contact person who can step in and help you in an emergency or if you cannot make financial decisions on your own. Trusted contact could be a family member, friend, or other individual whom you feel comfortable confiding in. However, it is important to note that your trusted contact cannot be your financial advisor.Do you want to add a trusted contact? Yes No Legal Name First MI Last RelationshipPrimary Telephone NumberEmail Mailing Address Street Address City State / Province / Region ZIP / Postal Code Power Of Attorney SupplementDo you have a power of attorney in force?If you have a power of attorney in force, please answer YES to share the information for the individual possessing power of attorney. This form should not be used to appoint or supplement an advisor or advisor representative as power of attorney but is to notify us of relevant contact information. Yes No Legal Name First Name MI Last Name Social Security NumberBirthdate MM slash DD slash YYYY Email Home PhoneWork PhoneMobile PhoneAddressNo P.O. Boxes Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Mailing Address Same as previous Street Address City State / Province / Region ZIP / Postal Code Contact Preference Phone Mail Email Fax FaxWhat number should we contact? Home Phone Work Phone Mobile Phone Employment Status Employed Self-Employed Unemployed Retired Homemaker Student Employer NameType of BusinessOccupationEmployer Street Address Street Address City State / Province / Region ZIP / Postal Code Occupation CodeA42 Accountant/Auditor/BookkeeperA62 AdjusterA82 Advertiser/Marketer/PR ProfessionalA33 Air Traffic ControllerA43 Ambassador/Consulate ProfessionalA53 AnalystA63 AppraiserA73 Architect/DesignerA83 Artist/Performer/Actor/DancerA93 Assistant/Executive AssistantA44 AthleteA64 Attorney/Judge/Legal ProfessionalA74 AuctioneerL51 Banker/Lending ProfessionalB21 Barber/Beautician/HairstylistB31 Broker/Registered RepB41 Business Executive (VP, Director, etc.)B51 Business OwnerC81 CaregiverC91 Carpenter/Construction Worker/ ContractorC22 CashierC32 Chef/CookC42 ChiropractorC52 Civil ServantC62 ClergyC72 Clerk IndustryC82 Compliance/Regulatory ProfessionalC92 ConsultantC43 Counselor/TherapistC53 Customer Service RepresentativeD11 DealerD61 DentistD31 DistributorD41 Doctor/Surgeon/PhysicianD51 DriverE51 EngineerE71 ExterminatorF71 Factory/Warehouse WorkerF81 Farmer/RancherF91 Financial Planner/AdvisorF22 Flight AttendantF32 Human Resources ProfessionalI41 Importer/ExporterI51 Inspector/InvestigatorI81 InvestorI91 IT Professional/IT AssociateJ31 JanitorJ41 JewelerL31 LaborerL41 LandscaperM91 MechanicM22 Military, Officer or AssociatedM32 Mortician/Funeral DirectorN21 NurseO11 Office AssociateO21 Other; If Other, include a description in the Occupation box.P81 PharmacistP91 Physical TherapistP22 PilotP32 Police Officer/Firefighter/Law Enforcement ProfessionalP42 PoliticianP52 Project ManagerR81 Real Estate ProfessionalR71 ResearcherS41 SalespersonS51 ScientistS61 Seamstress/TailorS71 Security GuardS81 Social WorkerT41 Teacher/ProfessorT51 TechnicianT61 TellerT71 Tradesperson/CraftspersonT81 Trainer/InstructorU21 UnderwriterV11 VeterinarianW21 Writer/Journalist/EditorType of Business codeA11 AccountingA21 Advertising/MarketingA31 Aerospace/DefenseA41 Agriculture/ForestryA51 Amusement and RecreationA61 Animal Services and VeterinaryA71 Architecture/DesignA81 Arts/ AntiquesA91 Athletics/FitnessA32 AutomotiveB11 AviationC11 Bar/Nightclub/Adult Entertainment ClubC21 ChildcareC31 Cleaning/Janitorial/HousekeepingC41 Communications/TelecommunicationsC51 Construction/Carpentry/LandscapingC61 Convenience Store/Liquor Store/ Gas StationC71 Customer Service and SupportE11 EducationE21 Embassy/ConsulateE31 EnergyE41 EngineeringF11 Fashion/ClothingF21 Financial ServicesF51 Firearms and ExplosivesG11 Gaming/Casino/Card ClubG21 Government/Public AdministrationG31 Grocery/SupermarketH11 Healthcare/Medical ServicesH21 Hotel/HospitalityI11 Import/ExportI21 Information Technology (IT)I31 InsuranceJ11 Jewelry, Gems, and Precious MetalsL11 Legal Services/Public SafetyL21 Logistics/Supply ChainM11 ManufacturingM21 MaritimeM31 Media/EntertainmentM41 Mining, Oil, and GasM51 Money Services Businesses (Check Cashing, Money Transmitting, Payday Loans, Currency Exchange)N11 Non-Profit/NGO (Non-Government Agency)/CharityO31 Other; If Other, include a description in the Industry of Occupation boxP11 Parking and Car WashesP21 Pawn Shops/BrokersP31 Personal Care/Hygiene (Beauty, Salon, Cosmetics, Massage, etc.)P41 PharmaceuticalsP51 Printing/PublishingP71 Professional/Civic Organizations(Non-Retail)R11 Real EstateR21 Religious OrganizationR31 Repair Services – Home, Auto, and OtherR41 Restaurant/Food ServiceR51 Retail Sales/Retail TradeS11 Science and BiotechnologyS21 SecurityT11 TransportationT31 TravelU11 Utilities (Public)W11 Wholesale Sales/TradeOccupation BoxCitizenship US Citizen Non-US Citizen Type of CitizenshipCAPTCHA
