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Services of Interest
	GIPS Compliance & Verification
	SAS 70 Exam
	Surprise Custody Examination
	Other
Contact Information
Salutation	--None-- Mr. Ms. Mrs. Dr. Prof.
First Name
Last Name
Title
Company
Address
City
State/Province
Zip
Country
Website
Phone
Fax
Email
Firm Details To expedite your proposal, please fill in the section below.
Firm inception date
Ownership type
Current AUM (in millions)
Number of accounts
SEC registered	--None-- Yes No In progress
Last SEC exam
Registration status
SEC compliance consultant
Dually registered broker-dealer	--None--Yes No
Affiliated broker-dealer	--None--Yes No
Claim compliance to GIPS	--None--Yes No
Currently/previously verified	--None--Yes No
Current/prior verifier
Date verified through MM/DD/YY
GIPS P & P documented	--None--Yes No In progress Unsure
Compliant mktg materials	--None--Yes No In progress Unsure
No. of composites
No. of composites maintained monthly
Interested in performance exams	--None--Yes No Unsure
No. of performance exams wanted
No. of composites examined
Prior firm track record(s)	--None-- Yes No
Time gaps	--None--Yes No Unsure
Currently linking performance	--None--Yes No Unsure
Wrap accounts/SMAs	--None--Yes No Unsure
Advise/sub-advise mutual fund(s)	--None--Yes No
Limited partnership(s)	--None-- Yes No Unsure
Alternative inv. strategies	--None--Yes No
Int'l non-ADR investments	--None--Yes No Future Planned
Name of Portfolio accounting system
Name of Composite mgmt system
How did you hear about Ashland?
Additional info