FORMAL REQUEST FOR INFORMATION AND NON-SOLICITATION STATEMENT To speak to a Chartwell principle or request additional information regarding high yield private placement/trade programs copy the following letter and paste it on your letterhead (including mailing address and contact phone number), sign in blue ink and email a color copy to jlong@chartwellcapitalgroup.com. .....................TO BE COPIED TO CLIENT’S LETTERHEAD............. TO: Chartwell Capital, LLC 95 West Main Street, Suite 5-298 Chester, NJ 07930 Date ________________ RE: NON-SOLICITION STATEMENT and REQUEST FOR INFORMATION Dear Sir: Please accept this Letter of Interest and Request for information regarding your services to assist and facilitate the placement of our herein referenced funds/assets for participation in a Private Placement/Trading Program(s). We are interested in participating in these Programs with the explicit understanding that there will be no risk to our funds or assets which we shall determine in our sole and absolute discretion. It is further our understanding that there will be no out of pocket charges or fees to us of any kind and that any fees, payments or compensation to Chartwell Capital or others will be due and payable only upon and paid from Program profits. Please accept this letter as an indication of our serious interest to investigate and consider participation in high yield private placement or trade programs provided that the available program(s) is satisfactory for my investment objectives. I certify the following: I, ____________________________________, with full authority, for myself or on behalf of my company _______________________________________________ am the sole authorized bank signatory and account holder with a minimum of One Million United States Dollars (USD$ 1,000.000.00) currently on deposit or available immediately to place on deposit at a major bank (such as HBSC, Deutsche Bank, Credit Suisse, RBS, UBS, JP Morgan) as and when necessary. These funds are good, clean and cleared funds that have been legitimately earned, and are of a non criminal origin; the funds are free and clear of any liens or encumbrances and are immediately available for private transactions at my sole discretion. I confirm, for myself or on behalf of my company above, that I am ready and able to commit a minimum of USD$ 1,000.000.00 to a private placement/trading Program that meets my criteria and then to confirm such funds on a Bank-To-Bank basis. I am also prepared to have my Bank issue an administrative hold/block to maintain the account at the principle amount to which I may commit for the duration of the contracted Program. I am a sophisticated, knowledgeable investor and: a) I have approached Chartwell Capital to consider retaining your services at my own choice and freewill, with absolutely no enticements, inducements, or solicitation on your part or by any related parties; and b) All information from Chartwell Capital will be held in the strictest confidence and will be for our private use only and will not be disclosed to any third parties; and c) This is a private transaction that is no way relying upon the US Security act of 1933, and any amendments or regulations related thereto, and does not involve the purchase or sale of securities; and d) That you, nor anyone acting on your behalf, has ever solicited me in any way and any documents, information and contracts that will be received by us from Chartwell Capital will be in no way be considered a solicitation of any kind, and in addition, such documents, information and contracts will be kept strictly confidential and private. All statements made herein are under penalty of perjury. A color electronic submission (executed in blue ink) is deemed as acceptable as a delivered original. For myself, and/or my company ______________________________________: ____________________________________________ Printed Name/Title: