EFTA01279827

SIGNATURE CARD RI" 5015268 REQUIRO SCIENITIA • •e1".•!••VA :•• At*: at , 324 SEABREEZE AVE 'PALM BEACH. Fl. US • 4. • r "NKE..• !:••••••... iii I MI111'1 1'1111 II k-42:52/.1 :".37174C0s1 tsc.. c. • BaSNESS STAACARD CiECtki•••G COEVATE E931S28 ^:. 4..710- "Jo n I nceg,rs Ma be wee./ as hi•-4 Cr: h Ma =ill sS.1n on0 ran *Mt t 1••••e•Steein PLEASE CHECK THE APPRDPR•ATE BOX FOR FEOLTEAL TAX CLASSPRCATON O • O O K O THE UNDERSIGNED AGREES TO THE TERMS AND C0ND:Ti0NS AT THE RIGHT. a ( 4;24 t : • HAIR0T AC•TRECIt:REWENTS :e s ••0O.•v '4:14•14' a- I.- A :N..; • 3:R•kAl:Hi I:: O C O [repeated 7 times] 1" U O O • O O C.M.ca:PErtHilikars •C• H•ast clots pa ,:e ••• 2 aselte 'iv :.. Tan bee• H:t t es Pots 49 ••••:t re.4.azoltrerc)tsc,y.etz r.:i..4.* ....t.:0 • i t .....! - s, .1.•••:•trt•or: ea i - .rest e• • L. i'• - Ar t U 4* Stnr.•••••; o 0` Lit 'Cs, CONFIDENTIAL ANEW ❑At0 OREN. PROT1 EFTA_00140869 PROT0