NEW ACCOUNT APPLICATION FORM - Kitco

Document version 1.0.2Last updated: 23 November 2009 - CGPhone: (514) 875-4820Toll Free: 1-877-775-4826Fax: (514) 875-6484E-mail: info@kitco.comwww.kitco.comNEW ACCOUNTAPPLICATION FORMKitco Metals. Inc620 Cathcart, Suite 900Montreal, QuebecH3B 1M1CanadaThank you for your interest in Kitco's products and services. In order to open an account without placing aninitial transaction, we require the following information as well as a deposit of funds. All fields marked withan asterisk [*] must be completed.Please complete this form entirely, either by completing the fields on your computer or by writing in blue orblack ink, and either fax it to the attention of the Investment Department at (514) 875-6484, or mail it to thefollowing address along with your initial deposit of funds:Kitco Metals Inc.Attention: Investment Department620 Cathcart, Suite 900Montreal, QuebecH3B 1M1CanadaDeposits of funds can be made by:Bank WireMoney OrderCertified CheckPlease make your payment to Kitco Metals Inc. and use only one form of payment for each transaction aswe are unable to accept multiple checks, money orders, etc. for a single transaction.Any amounts exceeding $10,000.00 must be sent by bank wire transfer only (please contact an InvestmentCustomer Service Representative at 1-877-775-4826 for bank wire instructions).For online orders under $50,000.00, a credit card is required to lock-in a price. If you wish to place an orderwithout a credit card, please contact one of our Investment Customer Service Representatives at1-877-775-4826.If you have any questions, please do not hesitate to contact our Customer Service Department at1-877-775-4826 or (514) 876-4202, Monday through Friday, from 8:30 am to 10:00 pm Eastern StandardTime.Kitco's Investment DepartmentPage 1 of 3

Document version 1.0.2Last updated: 23 November 2009 - CGNew Account Application FormAccount Holder Information*First NameMiddle Name (if applicable)*Last NameDate of Birth*OccupationCurrent Job TitleHome Address*StreetApartment*City*Province/State*Country*Postal/Zip Code*Home TelephoneFacsimileBusiness Telephone*E-mail**Is the Account Holder opening this account based oninstructions from another individual or entity?YesNo**If the Account Holder is opening this account on the instruction of another individual or entity, pleasecomplete page three.DECLARATION:I hereby declate that the particulars given herein are true, correct, and complete to the best of my knowledge and belief, and I amnot making this application for the purpose of contravention of any Act, Rules, Regulations, or any statute or legislation or anyNotifications, Directions issued by any governmental or statutory authority.Signature of ApplicantDateI would like to receive updates and promotional materials on Kitco's new products and services.FOR INTERNAL OFFICE USE ONLY Reviewing Officer Name Kitco ID#Signature of Reviewing OfficerDatePage 2 of 3

Document version 1.0.2Last updated: 23 November 2009 - CGNew Account Application Form**If the Account Holder is opening this account on the instruction of another individual or entity, pleasecomplete the following information:Information for Instructing Individual*First NameMiddle Name (if applicable)*Last NameDate of Birth*OccupationCurrent Job TitleHome Address*StreetApartment*City*Province/State*Country*Postal/Zip Code*Home TelephoneFacsimileBusiness Telephone*E-mailInformation for Instructing Entity*Entity Name*Entity Type (Corporation, Partnership, etc)*Type of Business*Relationship with Account Holder:Business Address*StreetSuite*City*Province/State*Country*Postal/Zip Code*TelephoneFacsimilePage 3 of 3