Surname First Name Date of Birth
Name Trust Name / Superannuation Fund Name ABN/ACN
Contact Name 电话 Emails Address
Quantity of Units: Par Value ($): Consideration ($):
By completing the above Application Form, I/We acknowledge ad understand that:
Marksx Pty Ltd is not authorised to give advice in relation to this opportunity and does not provide advice regarding the appropriateness of the opportunity to my/our objectives, financial situation, and needs. No representative of Marksx Pty Ltd has prepared a financial plan for me/us and I/we have not relied upon or been influenced by any representative in my/ou decision to contriute to this investment opportunity.
