Nasdaq Omx Request Form For Finra Services - Nasdaq Trader

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Please email the completed form to or fax to +1 212 231 5426

Order Type

Modify

Add

Removal

Connectivity

Which service provider will you be using?

Co-Lo

CPC

Extranet

Quoting & Trade Reporting

For TRACE trade

For ADF trade reporting,

For current TRF

For ORF reporting

For OTC Quoting of

reporting

quoting, order responses

report using ACT

using new platform

Bulletin Board

Please select

CTCI CA/SP

FIX 4.4 Trades

CTCI ACT (TRF)

CTCI (ORF)

only one:

FIX 4.4 SP

FIX 4.4 Quotes

FIX 4.2 ACT (TRF)

FIX4.4 (ORF)

FIX 4.4 CA

FIX 4.4 Orders

How many sessions would you like to request? (Default: 1)

________________________

Do you want to copy or modify an existing account? If yes,

________________________

please provide the session to copy and the details below can be omitted.

Yes

Has this version of your front-end application been certified?

What type of connection do you want to order?

Production

Test

Trade Reporting: Drop Copy

FIX 4.2 ACT (TRF)

FIX 4.4 SP

FIX 4.4 CA

FIX 4.4 ORF

FIX 4.4 ADF Trades

Please provide the MPID(s) you would like to drop. _________________________

FIX Only Please provide the Sendercomp(s) you would like to drop.

_________________________

Please select the messages you wish to receive on the drop session. (Check all that apply)

Accepts and Declines

Breaks

Cancels

Executions

For CTCI Drop Copy, please contact NASDAQ Subscriber Services +1 212 231 5180

Removal Requests

Please provide the product and logon(s) for disconnect below:

FIX4.4 (ORF)

Please select only one:

CTCI CA/SP

CTCI ACT (TRF)

CTCI (ORF)

FIX 4.4 SP

FIX 4.4 ADF Quotes

FIX 4.2 ACT (TRF)

FIX 4.4 CA

FIX 4.4 ADF Orders

FIX 4.4 ADF Trades

Contact Information

Order Contact _________________________

Phone: _________________________