001111
RAN:
Name:
Company:
APPLICATION FORM – WOODLOTS
Adviser Name
ADVISER’S STAMP
Adviser Company
REWARDS PROJECTS LTD - AFS LICENCE 224000
Post completed applications to: Rewards Projects Ltd, PO Box 803, West Perth WA 6872
This Application Form relates to the Product Disclosure Statement (PDS) dated 5 December 2008.
It is important that you have read the PDS accompanying this Application Form before applying for Woodlots in the Rewards Group
Premium Timber Project 2009 (ARSN 133 719 123). This Application Form must not be provided to any person unless at the same time
access is given to the PDS. If you have received this PDS electronically, the Responsible Entity will provide a free paper copy on request.
Unless otherwise defined in this Application Form, capitalised terms have the same meaning as defined in the PDS. Examples of how to
complete the Application Form are contained on our website www.rewardsgroup.com.au
1. Application Type
✔ Sole
Joint
2. Applicant Details
✔ Individual
Applicant 1
Mr/Mrs/Miss/Ms/Dr/Other
Joint
First Name
Middle Name
Corporate
Trust
Last Name
Mr John Robert Citizen
Company Name
ACN
PL
E
Director 1
Director 2
Name of Trust
ABN
Trustee 1
Trustee 2
1 Residential Street
Residential Address/Registered Office
PERTH
State
6000
Postcode
AS ABOVE
AM
Postal address (if different to above)
Financial Planner
Occupation
WA
State
Postcode
Date of Birth
0
1 - 0
1 - 1
9
6
0
john@citizen.com.au
Email Address
Contact Numbers
0
Work
8 -
0444 444 444
Mobile
Individual
Joint
EX
Applicant 2
9999 1111
Mr/Mrs/Miss/Ms/Dr/Other
First Name
Home
0
8 -
9999 8888
Facsimile
0
8 -
9999 1111
Corporate
Middle Name
Trust
Last Name
Company Name
ACN
Director 1
Director 2
Name of Trust
ABN
Trustee 1
Trustee 2
Residential Address/Registered Office
State
Postcode
State
Postcode
Postal address (if different to above)
Occupation
-
Date of Birth
-
Email Address
Contact Numbers
Work
-
Mobile
Home
-
Facsimile
-
3. APPLICATION FOR WOODLOTS
I/We apply for
1
Woodlots at $5,500 (ex GST) per Woodlot totaling $
5,500
65
4. METHOD OF PAYMENT
✔
5,500
Cheque (for full amount) $
payable to Rewards Projects Ltd Trust Account
Credit Card (for full amount)
Please debit my
MasterCard
Card Number
-
Debit the amount of $
Visa
Diners
-
Amex
-
Expiry Date
-
plus any applicable credit card merchant fee
Cardholders Name
Cardholders Signature
Date
-
-
12 Month Interest Free Loan
(complete section 7 and pages 67 to 75 of this Application Form)
Finance Package
5. PRIVACY
Refer to Privacy information on page 62 and 63 of the PDS for further details.
Unless you tick the box below, we and other companies in the Rewards Projects Ltd group may use your personal information to
offer you products or services that may be of interest to you.
6. APPLICANTS’ SIGNATURE
PL
E
I do not consent to the use of my personal information for this purpose.
By signing this Application I/we acknowledge, agree and declare that:
(a) I/we the undersigned apply for the number of Woodlots specified
above;
(b) I/we have read and understand the terms of the PDS and have had
the opportunity to seek independent professional advice;
(h) to comply with the requirements of the Corporations Act, this
Application Form cannot be passed on unless attached to this
PDS;
(i)
the term of the Project is expected to be at least twenty (20)
years from the commencement date or until the expiration of
the management agreement;
(j)
Rewards Projects Ltd is not obliged to redeem, repurchase or
cause to be repurchased my/our interest in the Project;
(c) I/we acknowledge that Rewards Projects Ltd is not bound to
accept this application;
(e) I/we agree to be bound by the terms of the constitution for the
Rewards Group Premium Timber Project 2009 (as it may be amended
from time to time), the licence agreement and management
agreement (Agreements) and the provisions of this PDS;
(f)
(k) I/we acknowledge that the Responsible Entity does not
guarantee the repayment of capital invested, and that no return
is promised;
AM
(d) I/we have not relied on any statements or representations made
by any party (including Rewards Projects Ltd and its officers,
agents and employees) prior to applying, other than those written
representations made in the PDS;
I/we irrevocably appoint Rewards Projects Ltd and each director
for the time being of Rewards Projects Ltd as my/our Attorney on
the terms and with the powers set out on page 62 of the PDS and
direct that the Agreements be signed on my/our behalf pursuant
to those terms;
EX
(g) I/we acknowledge that the full amount of any application moneys is
immediately due and payable upon signing this Application Form;
(I)
Rewards Projects Ltd can provide information on the status of
my investment to my/our nominated adviser; and
(m) I/we consent to payment to licensed advisers for procuring my/
our investment, an amount calculated (as 8% (plus GST) of the
amount I/we invest, plus a further 2% (plus GST) for marketing),
as determined by Rewards Projects Ltd, if this Application Form
bears their stamp. Alternatively, Rewards Projects Ltd may offer
up front commission of up to $275 per Woodlot and trailing
commission of $55 per Woodlot per annum for the first 5 years
of the Project.
Signature of Applicant 1
Signature of Applicant 2
Name
Name
Date
-
-
Signature of Witness
Date
-
-
Name of Witness
Date
-
-
ENSURE YOUR SIGNATURE IS WITNESSED
Executed in Accordance with Section 127(1) of the Corporations Act by authority of its Directors in the presence of:
Signature of Director
Signature of Director/Company Secretary
Name
Name
Date
-
-
Signature of Witness
Date
66
-
Name of Witness
Date
ENSURE YOUR SIGNATURE IS WITNESSED
-
-
-