Report on Production & Earnings of RRs – 2006

INVITATION TO PARTICIPATE

If you would like to participate in this study, please complete this participation form and return it with the appropriate payment by March 2nd. If you have any questions, contact Steve Carlson at (212) 618-0572.

Send Survey Questionnaire To:

Name:
Company:
Street Address:
 
City:
State: Zip:
Telephone: Fax:
Email:

Send Final Report To: (complete only if different from above)

Name:
Company:
Street Address:
 
City:
State: Zip:
Telephone: Fax:
Email:

Participation Fees (SIFMA members, please select the appropriate size-category for your firm)

Group / No. of Employees
Price
Group / No. of Employees
Price
Group I (fewer than 50 employees )
$200
Group IV (501 - 1,000 employees)
$350
Group II (50 -100 employees)
$250
Group V (1,001 - 6,000 employees)
$400
Group III (101 - 500 employees)
$300
Group VI (more than 6,000 employees)
$450

Our firm's participation fee of $___________ is enclosed.

Check (make payable to Securities Industry and Financial Markets Association)
Credit Card: American Express   MasterCard     VISA
Name on Credit Card:
Credit Card Number:
Expiration Date:
Billing Address:
 
Signature:


________________________________________

We understand and agree that the reports and documents provided to our firm by SIFMA in connection with this study are solely for internal use within our firm and are not to be made available in any form to others without express written permission from SIFMA. To participate, you must pay the participation fee and return a completed questionnaire. All participants will receive a copy of the report. If a completed questionnaire is not returned, your participation fee will be credited toward the purchase of the final report.

______________________________________________
Signature

Mail or Fax by January 26th to:

Stephen L. Carlson, Securities Industry and Financial Markets Association ,
120 Broadway, 35th Floor, New York, NY 10271
Fax: (212) 313-1358