Please complete and fax (02 8215 0679) or email a... Wealth Focus Pty Ltd, Reply Paid 760, Manly, NSW 1655

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Please complete and fax (02 8215 0679) or email a copy then return an original copy to:
Wealth Focus Pty Ltd, Reply Paid 760, Manly, NSW 1655
DATED: 22nd October 2014
PARTIES:
…………………………........................................................................................................ (Purchaser)
of (address)...................................................................................................................................... , and
Wealth Focus Pty Ltd a company duly incorporated in New South Wales ABN 87 123 556 730 and having
its registered office at Suite 7, 49-53 North Steyne, Manly, NSW 2095 (Wealth Focus).
BACKGROUND
A.
B.
C.
D.
Purchaser intends to purchase Medibank Private Ltd, MPL (‘the Product’) under a Broker Firm
Offer.
Wealth Focus is facilitating the investment but not providing any advice to the Purchaser
Under a Broker Firm Offer, Wealth Focus is liable to purchase the Product or any part of it that the
Purchaser fails to pay for
The Purchaser acknowledges and understands that its order will be non-cancellable and Purchaser
will be required to pay for their allocation of the Product in full immediately upon request by Wealth
Focus.
OPERATIVE PROVISIONS
1.
PURCHASE OF PRODUCT
The Purchaser hereby applies for $……………… worth of MPL. In consideration for receiving an
allocation of the Product under a Broker Firm Offer, the Purchaser must pay to Wealth Focus, or such
person as Wealth Focus nominates, immediately upon request by Wealth Focus and in any case not later
than settlement, the amount payable for such allocation. The parties acknowledge that the settlement date is
anticipated to be on or about the 14th November 2014 but in this regard time is not of the essence. The
Purchaser acknowledges and understands that their order is not cancellable and although Wealth Focus will
attempt to place the allocation elsewhere if the Purchaser so requests prior to settlement, if Wealth Focus is
unable to find an alternate buyer before settlement then the Purchaser must pay for the allocation on
settlement.
2.
CONFIDENTIALITY
Each party must keep the terms of this document confidential but a party may disclose the terms of this
document to any professional advisers who are subject to a confidentiality obligation arising from their
relationship with the disclosing party; to comply with any law or requirement of any regulatory body
(including any relevant stock exchange); and to any employee or non-executive director of any Related
Company, to whom it is necessary to disclose the terms.
3.
REASONABLENESS
The parties consider the covenants, obligations and restrictions in this document to be reasonable in all
respects.
Executed as a deed.
Signed sealed and delivered
by ______________________
(Purchaser)
_________________________________
Print Name
in the presence of:
____________________________
Witness
____________________________________
Print Name
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