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AUVQ Energy Systems Ltd Series A Bond Order Form
Notes: Our email address is auvqenergy@yahoo.com
Our office address is 125-5418 Yonge Street, North York, Ontario M2N 6X4
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1.Your salutationSingle choice.
Dr.
Mr.
Mrs.
Ms.
2.Your full name, starting with first nameSingle line text.

3.Your home addressSingle line text.

4.Your telephone numberSingle line text.

5.Your email addressSingle line text.

6.Number of AUVQ Energy Systems Ltd Series A Bond Units to purchaseSingle line
text.

7.Payment methodSingle choice.
By e-transfer
By Paypal
By cheque
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