Yes! I want to continue my membership with Jeff. I consent to Online Investment Services, LP. ("OIS") assigning my existing membership agreeement to Jeffery I. Maynard Investment, LLC. ("JMI") and I authorize OIS to transfer my existing membership data, which includes my full name, postal address, phone number, email address, password and credit card information to JMI.

Your credit card will not be billed today. You are simply authorizing us to transfer your data to Jeff's company for future billing after February 1, 2008 Fax/Mail: You may fax (413) 825-0542 or mail to: Online Investment Services LP, 1153 Bergen Pkwy, Suite M #502, Evergreen, CO 80439

Note: Address Info MUST Be Consistent With Credit Card Billing Address

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