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Information Memorandum - Foresight Group

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APPLICATION FORM<br />

AUTHORISED INTERMEDIARIES<br />

Email:<br />

BOX 4 TO BE COMPLETED BY THE INVESTOR’S AUTHORISED INTERMEDIARY<br />

Firm Name:<br />

Contact Name:<br />

Address:<br />

Telephone: Fax:<br />

Email:<br />

FCA registration no:<br />

Signature: Date:<br />

Post Code:<br />

BOX 5 INTERMEDIARY REMUNERATION (YOU MUST ELECT ONE OF THE TWO OPTIONS)<br />

Either: Tick this box if you are entitled to receive commission<br />

Reason:<br />

Or: Tick this box if Adviser Charges have been agreed with your client and comply with COBS 6.1A<br />

BOX 6 BANK DETAILS<br />

Please provide details of your bank or building society account for Adviser Charges or commission (as applicable)<br />

Account Name: Bank/Building Society:<br />

Sort Code: – – Account Number<br />

FORESIGHT SOLAR EIS EIS FUND FUND 3<br />

41 45

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