OAM2681 OVCT 2 Prospectus aw12 - Clubfinance

APPLICATION FORM
Octopus VCT 2 plc
5 Dividend Instructions
All dividends on Ordinary Shares held in Octopus VCT 2 may be paid
directly into bank and building society accounts. In order to facilitate
this, please complete the mandate instruction form below. Dividends
paid directly to your account will be paid in cleared funds on the
dividend payment dates. Your bank or building society statement will
identify details of the dividend as well as the dates and amounts paid.
Please forward until further notice, all dividends that may from time
to time become due on any Ordinary Shares now standing, or which
may hereafter stand, in my name on the register of members of
Octopus VCT 2 plc to:
Name of Bank or Building Society
Address of Branch
Account Number
Sort Code Number
Account Name
Signature
Date
Postcode
Applicant’s Name
Octopus VCT 2 plc cannot accept responsibility if any details provided by you are incorrect.
VCT-0915-11-0111
SKU148