Payment details and instructions

Submission of this form will constitute acceptance of the number of shares stated on this form. If an Application Form is not completed correctly it may still be accepted. Any decision of the directors as to whether to accept an application form and how to construe, amend or complete it, shall be final.

Once you have submitted this form you will be taken to a page that will provide full instructions and details for making your payment.

You should transfer funds via electronic direct credit to the account indicated. You MUST include the Reference (provided on next page) as the payment reference when submitting your payment. Failure to do so may result in your application not being processed.