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Phase II Interest Form

Name

Email

Phone

Address

City/Town

State/Province

ZIP/Postal Code

How many shares are you interested in at $1,300. each?

1/2

1

2

3 or more

Which payment option?

Downpayment of $650 then full payment in six months.

Full payment.

Finance the $1300 (for one share) over 20 years ($7.50/month).