Retail Investor Name
Retail Investor Mailing Address Line 1
Retail Investor Mailing Address Line 2 (Optional)
Retail Investor City, State, Zip
Retail Brokerage Name
Attention:
Compliance Department
Retail Brokerage Mailing Address Line 1
Retail Brokerage Mailing Address Line 2 (Optional)
Retail Brokerage City, State, Zip
RE:
Order Routing Instructions
To Whom It May Concern:
In accordance with the definition of
a directed order under Regulation NMS 242.600 and pursuant to FINRA Rule 5310 Supplementary
Material .08: Customer Instructions Regarding the Routing of Orders, please allow me to direct my orders for any purchase or
sale of National Market System equity securities during normal market hours (i.e.,
9:30AM ET to 4:00 PM ET) to IEX Services LLC (MPID IEXG), except to
the extent that I have otherwise directed you to route any of my
orders elsewhere, and provided that there is
no known technical issue preventing IEX Services LLC from receiving or
processing my orders. These standing
order routing instructions apply to the following account(s) held at your firm:
•
Retail Account
Number 1
•
Retail Account
Number 2
I hereby acknowledge that, pursuant
to FINRA Rule 5310, by routing my order(s) to IEX Services LLC, your firm is
not required to make a best execution determination beyond this specific
instruction, although you remain obligated to process my order(s) promptly and
in accordance with the terms of the order(s).
I further acknowledge that IEX Services LLC is required to meet best
execution requirements with respect to handling my order(s), including possibly
routing such order(s) to other market centers.
As such, any of my orders sent to IEX Services LLC as a result of this
instruction should be marked “Routable” which would enable my orders to be further routed via IEX
Services LLC according to their routing methodology to other nationally
protected market centers. “Routable” ensures that if IEX cannot satisfy
the full quantity of my order, IEX will seek to complete the remainder of my
order up or down to my specified buy/sell limit price on other market
centers.
I understand that IEX Services LLC
charges a fee of $0.0009 per share for orders executed on IEX Services LLC’s platform, or $0.0001 per share for orders routed by IEX
Services LLC to another market center for execution (plus any fees charged by
any such market center).
Please be sure to contact me if you
have any questions regarding this request.
Likewise, please notify me if you are unable to honor this request,
including when you will be able to honor the request, and whether I will be
charged any additional fees specific to this request. I can be reached via the contact information
below.
Sincerely,
Your name and signature
Contact Information (telephone and/or email)
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