Subscription Form

Business/Client Name ________________________________________________________

Address ___________________________________________________________________

Occupation _________________________________________________________________

Date of Birth _______________________________________________________________

GSM Numbers ______________________________________________________________

Amount N ____________________

Payment Plan

• Þ    Daily                [     ]
• Þ    Weekly            [     ]
• Þ    Monthly           [     ]
• Þ    On request       [     ]
• Þ    Others              [     ], Specify _____________________________________________
• Service plan,                    Prepaid            Postpaid
• Þ    Airtel                           [     ]                 [     ]
• Þ    Etisalat                         [     ]                 [     ]
• Þ    Glo                              [     ]                 [     ]
• Þ    MTN                           [     ]                 [     ]

Please make payment into;

Account name:           Ruazal Int’l Multiventures

Account no:                0116577398 (249-242825-1-1-0)

Bank:                         Guarantee Trust Bank Plc. (GTB)

For orders, please call or text 07037884055, 07087699542, 08170668504

Make sure you understand clearly and ask for more clarifications if need be, before signing below.

                                                                                                         ---------------------------------

                                                                                                            Client’s signature / Date

OFFICIAL USE ONLY

• Þ    Client’s reference code ___________________________________________________
• Þ    Client’s business nature ___________________________________________________
• Þ    Remarks _______________________________________________________________