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 REGISTRATION FORM 
 
 
 Please use this form to obtain an access login to our web site or to send us any 
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																	| * I am/We are |  
																	| An 
																		institution – banks, saving and loan, broker-dealer, insurance company, 
																		registered investment adviser or business development company. State employee 
																		benefit plans with over $5million in total assets or any ERISA plan if the 
																		investment decision is made by a plan fiduciary that is an institution or the 
																		plan has total assets exceeding $5million or the plan is self-directed and has 
																		only accredited investors. |  
																	| Partnerships, 
																		Charitable Organizations and Other Organizations that is a qualified non profit 
																		and was not formed for the specific purpose of investing in your securities and 
																		that has assets in excess of $5million. |  
																	| Natural 
																		Persons/Income Test- natural persons with income in excess of $200,000 in each 
																		of the two most recent years, or joint income with the person’s spouse in 
																		excess of $300,000 in each of those years and has a reasonable expectation of 
																		reaching the same income level in the current year. |  
																	| Natural 
																		Persons/Net Worth Test –Natural person whose individual net worth or joint net 
																		worth with my spouse, exceeds $5 million. |  
																	| Trusts 
																		– Any trust with total assets in excess of $5million, not formed for the 
																		specific purpose of acquiring the securities offered and whose purchase is 
																		directed by a sophisticated person (e.g. someone who has such knowledge and 
																		experience in financial and business matters and is capable of evaluating the 
																		merits and risks of the prospective investment) |  
																	| Other – 
																		(Please specify)   : |  
 
 
																
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																	| The material contained in this website is for your private information and GEM 
																		Global Equities Management S.A. ("GEM") is not soliciting any action based upon 
																		it. The material is based upon information that we consider reliable, but we do 
																		not represent that it is accurate or complete, and should not be relied upon as 
																		such. Neither GEM, its affiliates nor their respective officers, directors, 
																		agents or employees makes any warranty, express or implied, of any kind 
																		whatsoever, and none of these parties shall be liable for any losses, damages, 
																		costs or expenses, of any kind or description, relating to the adequacy, 
																		accuracy or completeness of any information on this website or the use of 
																		information on this website. Past performance is not necessarily an indication 
																		of future results. |  
 
 
 
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