Page 17 - CROWN-FLIP BOOK
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Advisory Mix:

            Independent RIA:


            Assets Under Management:     ____________________________________________________________

            Current Payout:
            Gross Dealer
            Concession
            Annually:
            Production Last
            Year:

            Do you have ACAT transfers?  Yes ____ No _______    How many?


            What direction would you like to take your business?
                             (1) Expand into Fee Based Business?
                             (2) Expand Products to Offer?
                             (3) Build up your branch, add reps?
                             (4) Other




            If not already,  are you interested in becoming a principal (s-24)?

            If not already engaging, are you interested in fee based/RIA business?


            How did you hear about Crown Capital Securities?



                        Crown Capital Securities, L.P.
                    725 W. Town & Country Rd., Ste. # 530              Phone: 714-547-9481
                             Orange, CA  92868                            Fax: 714-547-9735



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