Participation in the Supernovae Energy Project

Phone: +41 55 282 56 51  Fax +41 55 282 56 55   www.supernovae-energy.com
Copy form and return it via e-mail to postmaster@rqm.ch or send by Post

Hans Lehner, Chairman
ISQR Institute for 
Space Quantum Research (since 1993)
Aatalstr. 1
CH-8732 Neuhaus / SG
(Switzerland) 

I / we would like acquire a stake in the

SUPERNOVA-ENERGY PROJECT

and plan to invest the following currency/amount:        

 

Investment date: Month:         Year:  

 

Upon receipt of your request we will send you a written stock purchase offer

Enter the sum in the appropriate currency field:

      

CHF         EURO         U.S. $          

    

                      

                       

Mr./Mrs./Company:
Surname:
Name:      
Address: 
City:  Postal Code: 
Country:   Language:
Phone:  Mobile:   
Email:   Fax:

 

                        

Place Date:    _____________________          Signature:    _______________________
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