New Icon Shares Application Form
We hereby apply for and request you to allot and issue to us shares in the capital of the Company (the “Shares”) at EUR 6.34 per share.
Payment has been made by:
We hereby agree to accept such shares when allotted to us on the basis of the Constitution of the Company.
We hereby authorise you to place our name on the register of members of the Company as the holder of such shares.
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Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: New Icon Shares Application Form
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