10.07.2015 Views

investment statement for - Pumpkin Patch investor relations

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application instructions <strong>for</strong> option offer... employees onlygeneral1. Applications <strong>for</strong> Options must be made on the OptionApplication Form included with and <strong>for</strong>ming part of this OfferDocument, and in accordance with the Application Termsset out on the back of the Option Application Form.2. Completed Option Application Forms must be sent so as tobe received by <strong>Pumpkin</strong> <strong>Patch</strong> at:Managing Director<strong>Pumpkin</strong> <strong>Patch</strong> Limited439 East Tamaki RoadEast TamakiAUCKLANDno later than 5.00pm on the 12th Business Day followingreceipt of an individual offer of Options pursuant to theOption Offer.3. An Application will constitute an irrevocable acceptanceby the applicant to acquire the number of Options offeredto the applicant by <strong>Pumpkin</strong> <strong>Patch</strong> on the terms andconditions set out in this Offer Document and on the OptionApplication Form.4. If your Option Application Form is not completed correctly,your Application may still be treated as valid. TheCompany’s decision as to whether to treat your applicationas valid, and how to construe, amend or complete yourApplication Form, shall be final.5. Further details of how to apply are set out in the followingsection titled “How to Apply”.how to applyYou should read this Offer Document carefully be<strong>for</strong>ecompleting the Option Application Form.Completing the Application FormPlease complete all relevant sections of the Option ApplicationForm using CAPITAL BLOCK LETTERS.Insert DetailsThe numbers shown below correspond to the relevant section ofthe application <strong>for</strong>m.1 Enter your FULL NAME. You should refer to the table on theback of the application <strong>for</strong>m in this Offer Document, underthe heading “Correct <strong>for</strong>m of registrable names” <strong>for</strong> thecorrect <strong>for</strong>m of name that can be registered. Applicationsusing the wrong <strong>for</strong>m of name may be rejected <strong>for</strong> thatreason.2 Enter your POSTAL ADDRESS <strong>for</strong> all correspondence. Allcommunications to you from <strong>Pumpkin</strong> <strong>Patch</strong> will be mailedto you at the address as shown.3 Please let us know your TELEPHONE NUMBER(S) and contactname in case we need to contact you in relation toyour application.4 You will have received an individual offer specifying theNUMBER OF OPTIONS offered to you pursuant to the OptionOffer. Applications must be <strong>for</strong> this number of Options.5 Please enter your IRD NUMBER. <strong>Pumpkin</strong> <strong>Patch</strong> is required bylaw to hold it. Note that your application may be rejected ifyour IRD number is not entered. Indicate by ticking theappropriate box whether or not you hold a residentwithholding tax exemption certificate. If you hold acertificate, <strong>Pumpkin</strong> <strong>Patch</strong> will not be obliged to deductresident withholding tax on dividends if it has seen therelevant certificate.6 Read the declaration carefully and SIGN the application<strong>for</strong>m be<strong>for</strong>e a witness. The witness will be required to sign theapplication <strong>for</strong>m and enter his or her full name and address.Closing DateApplications must be received by no later than 5.00pm NewZealand time on 12th Business Day following receipt of anindividual offer of Options unless this date is varied by<strong>Pumpkin</strong> <strong>Patch</strong>.DeliveryApplications cannot be revoked or withdrawn.Application <strong>for</strong>ms must be mailed or delivered to <strong>Pumpkin</strong> <strong>Patch</strong>(see address below) to arrive by 5.00pm on the 12th BusinessDay following receipt of an individual offer of Options pursuantto the Option Offer.Please lodge your application AS SOON AS POSSIBLE.56

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