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Ent Prospectus and Investment Statement may be obtained from Geneva Finance Limited at the address below. For Trust applications, only trustees must sign o o o o o Please return this form to: The Investment Manager Geneva Finance Limited, Private Bag 14923 Panmure, Auckland 1741 Phone: 09 573 2974 Fax: 09 573 5597 Free phone: 0800 800 133 Email: investments genevafinance.co.nz Website: www.genevafinance.co.nz 10. APPLICATION CHECKLIST Have you reviewed/provided: Investment Statement. Full nam.

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