download WA Blue Gum Project Product Disclosure Statement 2013

(If applicable) Second Applicant or Second Joint GrowerDr/Mr/Mrs/Ms/Miss First Name SurnameDate of Birth / / OccupationCompany Name (if a company)Residential/Site AddressSuburb/Town City State PostcodeMailing Address (if different from above)Suburb/Town City State PostcodeACN (if a company)ABNAre you registered for GST Yes NoTel: WorkMobileTel: HomeFaxEmailAre you applying as Joint Grower (see Part A of the PDS)? Yes NoAre you applying as a trustee? Yes NoIf yes please state the name of the trust or superannuation fund(If applicable) Is the trust or superannuation fund registered for GST Yes NoYour AcknowledgementsBy signing the Application Form you acknowledge that:(a)(b)(c)(d)(e)(f)You have read the PDS for the W.A. Blue Gum Project 2013 to which the Application Form relates.You agree to be bound by the provisions of the Constitution as amended from time to time of the Project.The Responsible Entity has the right to accept or reject your application in whole or in part.You agree that acceptance of your application may be constituted by execution of the Project Agreements bythe directors of WABG severally as your attorneys on your behalf without communication of suchacceptance to you.You acknowledge that by becoming a party to the Constitution and the Project Agreements you irrevocablyappoint the directors of WABG severally as your attorneys to enter into any agreement for the sale of thewood.You authorise the directors of WABG severally as your attorneys to place your name(s) on the Register inrespect of the area leased pursuant to your application.